You use the words "red-tape" and "inefficiency" there in a very patient-centric way. Whereas from a profit point of view fewer doctors is good, more insurance

You use the words "red-tape" and "inefficiency" there in a very patient-centric way. Whereas from a profit point of view fewer doctors is good, more insurance red tape is good, effeciently increasing bills and billing customers is good. The health system is set up to maximise profits. And it is doing so most effeciently. If you want a different outcome then you need a different system.