The Full Economic Impact of Nursing Home Certificate of Need

The full economic impact of nursing home certificate of need restrictions on a local economy is difficult to quantify because

A) it is difficult to measure the opportunity cost of the real estate that could have been used for a nursing home.
B) it is difficult to measure the opportunity cost to the Medicaid program of the patient per diem payment.
C) fees for filing a CON application vary significantly from state to state.
D) it is difficult to measure the opportunity cost of the caregivers who are financially uncompensated while caring for loved ones waiting for a nursing home space.
E) more economic analysis is needed.