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[QUOTE="DarthGrumpy, post: 3595392, member: 2141"]
As I pointed out, that is an factor.  Off the top of my head, very few State University medical hospitals have to compete with a large, top-notch private university medical hospitals and even fewer suceed.  UNC does very well agants Duke in a market that is not much bigger than Hartford, though Duke has a stronger rep for resaearch while UNC has a rep for primary care.  Other winners, such as U Texas v Rice/Baylor in Houston and UCLA v. USC in Los Angeles and UCSF v. Stanford in San Francisco are in much bigger markets.  UIC (v. both U Chicago and Northwestern in Chicago), U Maryland (v. Johns Hopkins in Baltimore), Temple (v. U Penn in Philly) and Rutgers (v. Cornell/Columbia in NYC) have also played second fiddle.  Such consideration also likley led to UMass's medical school being plopped down in Worcester and not Boston, why URI doesn't have a medical school (v Brown in Provodince) and why the realtively new Michigan St medical school was established in Grand Rapids, Michigan's second largest city, instead of running against U Michigan in Detroit.
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