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Raleigh hospital's attempt to expand cancer services leads to revealing CON law dispute with neighboring systems

By NC Health News  
   February 04, 2026

Many healthcare systems talk about three main pillars of care for treating cancer patients: medical, surgical and radiation oncology. It turns out that having state-of-the-art radiation technology can not only help heal patients, it can also be beneficial to a hospital system's bottom line.  A high-stakes dispute among three major hospital systems in the Triangle — Duke Health, UNC Health/Rex and WakeMed — has revealed just how financially advantageous such equipment can be. The clash also gives a glimpse into how certificate of need, or CON, laws can be used to try to stifle competition — and provides insight into the lengths major healthcare systems will go to try to maintain a competitive edge in the specialized care market.

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