"Are you picturing a world where it's obvious that some surgeons and doctors are 10 times better than others, so the rich pay $$$$$$ for 10x better care, and th

"Are you picturing a world where it's obvious that some surgeons and doctors are 10 times better than others, so the rich pay $$$$$$ for 10x better care, and the poor are left with the scraps?" Isn't this the case already? I mean, it could probably be worse, but I doubt Bill Gates will go to the same clinic that I do.