This must ultimately be seen as a failure of how we govern ourselves, or at the very least, a failure of the people in government to do their jobs. Surely there is a more practical, more efficient way to provide the necessary care to those 81 patients than a $131 million facility with 422 employees and a $34.5 million annual operations cost.  That is, by the way, $425,925 per patient per year.  Did no one see this situation as an inevitable train wreck?