To the "obviously a lot cheaper" point. With the economies of scale these orgs operate at, that is a weak argument beyond, yes, technically slightly cheaper. And hospitals would be more profitable if buildings didn't have to incur the expense to purchase, install and maintain windows. And doctors would technically have more take home pay if they didn't have to buy shoes and wear them during surgery.
I know it's lighter in your message and you're mostly on the side of good I believe, but stop FUCKING pre-complying. Nobody has any sympathy for these "every year is record profits" fucks. Show me some YoY break even or loss and we can discuss hardship and necessary reduction in service. Until then, have ZERO patience for their boo hoo bullshit. There is a concept called the cost of doing business, table stakes.
Now internalize that.