Americans tie consultation to scans. The opinion on the scan is often done by the same establishment that does the scan. But diagnosis is hard, and operating a

Americans tie consultation to scans. The opinion on the scan is often done by the same establishment that does the scan. But diagnosis is hard, and operating a machine not as hard. America doesn't allow market principles to handle operation because it's hard for an efficient market to apply in diagnosis. Tying these two things together, with the additional weight of the unwieldy insurance industry with its inefficient pricing means that everything costs more. This is not to mention the fact that insurance's regulatory capture is choking the industry. Besides, Americans don't know how to run a market in health. It's a cultural thing. They deify classes of people and then have trouble fitting them into reality.