The really expensive procedures cannot be shopped around. There isn't time. I hate this focus on personal responsibility instead of for-profit hospitals, orthos

The really expensive procedures cannot be shopped around. There isn't time. I hate this focus on personal responsibility instead of for-profit hospitals, orthos with ownership in rehab clinics, university owned for profit doctor groups, insurance comoanies with higher expense ratios than medicare and medicaid, etc. HCA can overbill medicare more in a month than all the shopping around could potentially save in a year