Lack of Specialist and healthcare infrastructure

Las Vegas has had a medical school for 20+ years yet there is no teaching hospital? I’m not talking about UMC. I am talking about university of Utah, Stanford, Intermountain healthcare, university of Iowa, etc. With the amount of people that live in this tiny area as someone who has been a nurse since 2007, it is mind-boggling to me that to see most specialists Patients must travel to Arizona, California or Utah to see somebody. Also, the way, healthcare and general is set up in Las Vegas is most doctors offices are independent and there is no sharing of an EMR. It’s very much set up for a tourist and not a local. The people who needs specialist and seeing multiple providers and need a way to be seen locally and have any and all labs, scans office visits, surgeries, etc. be accessible to all providers seen by the patient instead of the patient being responsible for providing those records to whatever doctor they end up seeing. One big oversight is the definition of palliative care in Nevada and what it does and does not do. That definitely needs to change. At this point all palliative care does is see the patient in the home once a month and write prescriptions for pain medicine. That is not what palliative care is so it should not be called that or it should be changed to encompass what it actually is supposed to do. doctors will give referrals for palliative care for their patient because they need constant monitoring not realizing that palliative care companies don’t do case management at all and that’s what doctors are thinking They are getting when they refer their patients to palliative care.