> The problem is that getting costs down is almost impossible. Costs are salaries of doctors & nurses, a giant pharmaceutical industry, thousands of radiologist

> The problem is that getting costs down is almost impossible. Costs are salaries of doctors & nurses, a giant pharmaceutical industry, thousands of radiologists, ultrasound technicians, the machines they use (far more frequently than europeans)… Those aren't the only costs though. A lot of the cost is on useless things like bureaucracy, middlemen and duplication. For example, there are two very large hospitals within about a mile of my home solely because one of the insurance providers likes to build its own and providers don't like to share. You could cut costs significantly by simply demolishing one of the buildings and moving the staff to the other one.