I am continually surprised with the focus on attacking the "packaging" of healthcare at the insurance / network / reimbursement level. That isn't the problem th

I am continually surprised with the focus on attacking the "packaging" of healthcare at the insurance / network / reimbursement level. That isn't the problem that needs to be solved. The problem with healthcare costs is that there is a lack of competition of costly services provided by large hospital and clinics. In many areas, there is a single provider that runs unchecked. Two factors limiting competition are: 1) Huge barriers to entry. How do you start a new hospital or sizable clinic? Regulation, costs, training, etc make it prohibitively difficult 2) Science/data isn't good enough yet. There is not sufficient data to show which providers (hospitals/clinics/treatments) are better than others, enough to allow disruptive entrants into the system. Only breakthroughs in biotechnology that displace incumbents in healthcare services will move the need. Re-shuffling the insurance / network / payment deck of cards aren't enough.