It is my sincere hope that hospitals across Indiana, and America, continue to strive for excellence when it comes to providing medical care. This proposed rule will be harmful to communities who wish to upgrade their medical facilities.

Buyer frames the issue as a tension between regulatory oversight and local capacity to modernize healthcare infrastructure. By pairing a broad, patriotic-sounding aspiration (“hospitals across Indiana, and America… strive for excellence”) with a concrete warning (“this proposed rule will be harmful”), he positions himself as pro-quality and pro-community rather than anti-regulation in principle. The quote implies that the rule in question would raise barriers—financial, administrative, or legal—to hospital expansion or renovation, and that such barriers would disproportionately affect communities seeking to “upgrade” facilities. The rhetoric appeals to public welfare and local autonomy, suggesting that limiting capital improvements ultimately undermines patient care and regional health outcomes.