It's even more expensive when the government regulates it to hell and back, intertwines itself with insurance industry, and has an incestuous relationship with

It's even more expensive when the government regulates it to hell and back, intertwines itself with insurance industry, and has an incestuous relationship with the AMA resulting in massively fewer number of doctors than would like to go through the education. And then those same doctors, who are usually on the same professional board as say PAs, use their leverage as a hammer against other high level practitioners to ensure they don't lose a handle on their racket.