To participate in an American healthcare treatment you need to interact with a private for-profit company which will shut down if it doesn't on average attain s

To participate in an American healthcare treatment you need to interact with a private for-profit company which will shut down if it doesn't on average attain significant profitability; Let's say 30% goes to shareholders, taxes, receptionists, keeping the lights on. But they don't deal with everything. They have to interact with upstream providers! And they have to pay somebody to negotiate with them. So another 30%, and add 5% just to pay somebody to bargain the price with the Flu Shot Distributor. But the flu shot distributor has to interact with yet more upstream providers - the flu shot packager, who interacts with the flu shot pharmaceutical company, and the syringe company. Everybody adds their overhead and then their premium; "Price signals" become exponentially complex and more a matter of the mood of the negotiation than anything else. This is all an externality of a non-vertically-integrated capitalist system, which is somehow, somewhy, supposed to be regulated by your desire to get a flu shot relative to your ability to pay; It is not at all optimal in the market system for everybody to get a flu shot, that defeats the fundamental mechanism of the supply-demand curve. https://siderea.dreamwidth.org/1179450.html https://siderea.dreamwidth.org/1179450.html this essay series offers some of the better hypotheses on cost disease that I'm familiar with.