The ideology underpinning neoliberal globalization demands that all markets and exchanges, large and small, global and local, be optimized for profit. This has been the mantra of corporate executives and elites for the past four decades. Empty hospital beds cost money. Local production is too expensive. Stockpiles of surgical masks and ventilators are a waste of money. Community hospitals in poor and rural counties won’t turn a profit, so they must be closed.