The automakers worry that the hospitals would add unneeded costs and lead to overcapacity in Detroit's Oakland County suburbs. Others opposing the building plan, in a lawsuit filed in Ingham County Circuit Court, are the United Auto Workers and automotive supply giants Delphi, Visteon, Lear and others.

Officials at Henry Ford and St. John say their expansion plans are part of a strategy to offset the losses suffered from extending care to the poor by expanding in Detroit's wealthy suburban communities. State lawmakers granted the two health systems an exemption from Michigan's "certificate of need" requirement, which is designed to prevent excessive hospital construction or expansions.

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