The letter expresses concern about the proposal to build a 700+ bed hospital in Tulsa. It argues that there is already a surplus of hospital beds in Oklahoma, which is causing smaller rural hospitals to struggle. There is also a shortage of allied health professionals in the state. The letter states that adding another hospital would exacerbate these problems and increase healthcare costs. It also mentions that the hospital would likely draw patients from existing facilities, further reducing occupancy rates. The letter concludes by urging the Health System Agency to deny a certificate of need for the new hospital.