Your new competitors: wholesalers.
D003132:Commerce; D004465:Economic Competition / Q000331:legislation & jurisprudence*; D004467:Economics / Q000331:legislation & jurisprudence*; D004469:Economics, Hospital; D004865:Equipment and Supplies, Hospital / Q000600:supply & distribution*; D006788:Hospitals, Voluntary / Q000191:economics*; D013660:Taxes / Q000331:legislation & jurisprudence*; D014481:United States