>there are a significant number of people who just can't. So once you bring in the doctor costs start rising up. I'm assuming that the patient cannot read the

>there are a significant number of people who just can't. So once you bring in the doctor costs start rising up. I'm assuming that the patient cannot read the results. i.e., They go to the hospital. Doctor asks for the tests. Patient gets the test results from their lab of choice and go back to the doctor with the results. This is a fairly common model, at least elsewhere in the world. Labs and hospitals are separate entities, and the first visit to the doctor is just a consultation with nominal costs. Doctor's costs don't kick until the test results are back.