I do not need to write much here as this is a very simple case of free enterprise verses protectionist policy. I fall clearly in the free enterprise camp and Certificate of need laws are anti-consumer and has never proven to meet the goals of their proponents. They fear adequate capital, both human and monetary will not flow into an area if they cannot keep out competition. That unfounded fear is used as a way to bully city councils to give special treatment. It is amazing how often those being protected show their appreciation with major donations to campaigns .
Certificate of need laws are protectionist policies and destructive to economic growth and advancements