>customers don't actually pay for the products and services By the plain language of this, it would apply to privately insured patients as well. No matter how

>customers don't actually pay for the products and services By the plain language of this, it would apply to privately insured patients as well. No matter how pricey the plan, it's the insurer that controls how much is paid, not the patient -- and their incentives are to promise a lot, and then pay too little to cover it. So, is a private insurance+hospital system likewise doomed to "go downhill"?