A plan by Providence and Kaiser Permanente to build a new medical center in the High Desert region of California is the latest example of leading hospital chains seeking market advantage. They intend to spend up to $1 billion to build a hospital in Victorville, a city of about 123,000 that sits 85 miles northeast of Los Angeles. The site is only 11 miles from a hospital Providence already owns, and plans to close, in the adjoining city of Apple Valley. The new site is next to Interstate 15, a major artery that cuts across a swath of the Mojave Desert and through the San Bernardino Mountains toward the more populous cities of Fontana, Riverside and San Bernardino. That location
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