Not sure why anyone would be surprised by this. Providing health care costs money and is run by human beings. I don't see why health care would somehow be immun

Not sure why anyone would be surprised by this. Providing health care costs money and is run by human beings. I don't see why health care would somehow be immune to basic economics and incentives. People who pay more get better service, no matter how distasteful that may be. Trying to make administration of health-care more "fair" often just means making private health care illegal, which doesn't really benefit anyone.