Wow. It really shows how costs have gotten out of control and there is just greed in everything medical.
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I wouldn't call it greed, unless you're talking lawyers suing.
The doctor needs to pay for their education, as does the nurse, phlebotomist, pharmacist, orderly and cooks. After all, a fair wage is desired.
However, things can go wrong, then it's a footrace to the lawyers. The extra charges on a billing, include insurance for doctors, hospitals and staff. Plus indigent care (They can't turn away people, no matter if they can't pay)
Medicare/Medicaid reimbursement rates are 20-40% of normal rates. A doctor/hospital can't afford to have over 30% of patient load through them, they're losing money. Hospitals have closed because of funding.
And of course, there's employee benefits. Want to work for just $$$ no sick/vac/personal off time? Being a temp worker is that way.
Finally, we're a fat lazy country. As such, our average weight has ballooned. Fat people cost more, high blood pressure, heart issues, lung issues, smokers, wanton sex between various partners, drug abusers, alcoholics.
Average weight of citizens USA 199.0 lbs.
Czech republic is 203 lbs.
UK is 188, they're catching up. Below is the rest of the world.
https://en.wikipedia.org/wiki/Human_body_weight#By_country