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Despite the fact that numerous physicians live west, all the Knoxville hospitals, except for Tennova North, are within an easy commute. Patients, too, don't need a hospital at their back door, but rather an accessible one with adequate parking.
The old St. Mary's administration made many mistakes before disappearing into the sunset, but the hospital near Fulton High School is needed to care for the population of north Knoxville and central Knoxville.
Many of the staff established their residences near the hospital after obtaining their jobs. Commercial enterprises grew in the area to help those people and the patient families as well as the physicians who worked at the hospital.
Upgrades including operating room rehabilitation, excellent ICU facilities, and modern patient rooms were possible within the framework of an historic facility. More modernization is possible, but Tennova just seeks to chase the money west. They will be invading one of the oldest, organized neighborhood plats within Knoxville, and the neighbors are making it clear that a new Tennova hospital on Middlebrook Pike is unwelcome and unneeded.
It is NOT a given that they must move to west Knoxville in order to survive, or even to make a profit. Wise administrators can make both happen where the facilities currently exist. No survey of physicians has been carried out, despite the administration's claims.