The last paragraph of the article addresses this specifically: "Imagine my father’s hospital had to present the bill for his “care” not to a government bureauc

The last paragraph of the article addresses this specifically: "Imagine my father’s hospital had to present the bill for his “care” not to a government bureaucracy, but to my grieving mother. Do you really believe that the hospital—forced to face the victim of its poor-quality service, forced to collect the bill from the real customer—wouldn’t have figured out how to make its doctors wash their hands?"