The American medical system is full of middle men between me and anyone who might care about me. Drug middle men, insurance companies, potentially ambulances,

The American medical system is full of middle men between me and anyone who might care about me. Drug middle men, insurance companies, potentially ambulances, even the large medical groups that people who directly provide me care work for ... I have no idea who does what, what financial things are at play, and I feel like it changes so fast I couldn't possibly keep up. Other than simply not ever getting medical care, I can't even choose to not do business with these groups who have zero vested interest in me being healthy but are more in-control of the care I get than I am. Even the people who directly provide me care don't seem to know. Everything is a moving black box that seems ripe for shenanigans.