Toby Cosgrove  Cleveland Clinic  The business of healthcare is
changing rapidly. New legislation, the pace of medical
innovation, and an older and more obese population mean the way
we do things is going to have to change.   We spoke to Dr. Delos
("Toby") Cosgrove, the CEO of the Cleveland Clinic, which is
regarded as one of the most innovative hospital systems in the
United States on these massive trends.     Consolidation is
coming  During our conversation, Dr. Cosgrove pointed out that
all of those trends, accelerated by the cost pressures of the
Affordable Care Act, are pushing the industry in one direction
— consolidation. "When you look at industries in the United
States, particularly low margin businesses — and healthcare is
clearly a low margin business — you figure that 25 percent of
the hospitals right now are in the red, so it's very low
margin." Cosgrove said. "What happened to airlines, what
happened to supermarkets, what happened to bookstores? They all
consolidated, they brought scale so they c