But there is a centralised mechanism to keep MRIs expensive: certificate of need laws. https://www.vox.com/policy-and-politics/2018/7/31/17629526/mri-cost-cert

But there is a centralised mechanism to keep MRIs expensive: certificate of need laws. https://www.vox.com/policy-and-politics/2018/7/31/17629526/mri-cost-certificate-of-need-north-carolina-lawsuit https://www.vox.com/policy-and-politics/2018/7/31/17629526/m... It used to be a Federal Law. That got repealed, but certificate of need laws live on in several states. Still, state wide counts as a central mechanism if you live in that state. Since I'm not American, I don't know how the scam works in other states.