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Not often enough. You've seen the reverse due to high regulatory costs.

If you're a healthcare provider in the US you often have to get a "certificate of need" to offer a service where a board full of competitors in the neighborhood determine if the neighborhood really "needs" this service:

> CON programs primarily aim to control health care costs by restricting duplicative services and determining whether new capital expenditures meet a community need.

https://www.ncsl.org/health/certificate-of-need-state-laws



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