>But as my colleagues and I have manifestly demonstrated in our lackluster response to these efforts over the past several years, spending more money on somethi

>But as my colleagues and I have manifestly demonstrated in our lackluster response to these efforts over the past several years, spending more money on something is kind of the American way, because spending more feels like doing more, measurable upside be damned. The higher the cost, the higher value of the percentage skimmed off the top from insurance.. there is no cost incentive here from the POV of the charging institution.. this has nothing to do with 'measurable upside'