That's fair but a major problem with US healthcare is that there isn't really many options around cost trade-offs. We have them in every other consumer industry

That's fair but a major problem with US healthcare is that there isn't really many options around cost trade-offs. We have them in every other consumer industry - a loaded luxury car offers different trade-offs than a used subcompact. Why don't we have the same choices in health care? My grandpa has cancer and is getting chemo, the chemo seems very expensive (at least 100x more expensive than the same molecules but without FDA certification in India). However, the hospital bills each intramuscular injection at $200. An intramuscular injection is the same injection as a flu shot. Now, why can I get a flu shot for $20 at walgreens but a hospital charges $200 to perform the same sort of shot with a different payload? And why can't we trust people to do it themselves? Diabetics stick themselves with needles routinely with pretty basic training. I wonder how much my health insurance would be if I could forego check ups, promise not to use insurance to cover on-patent medication, and DIY my healthcare as much as possible. And I'll keep wondering because apparently a lot of that would be illegal.