Don't know about state univ hospitals in general, but in many traditional B1G 10 states the B1G university hosts the state's top medical school and typically one of if not its' top-ranked hospital(s). No Johns Hopkins, Penns, etc, or in CT, YNHH. Iowa City, not Des Moines, has the state's top-research hospital, UofI's few merged facilities, plus a Catholic hospital and a big VA hospital. Big medical destination, well-funded historically and currently out of need/top-priority, etc. Not a Johnny-come-lately a la UConn hospital with long-existing, major established competition a la Hartford Hospital, St Francis, etc. Massive difference: CT vs IA.