America's health system is messed up

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5. The bill will not save any money. It should be painfully apparent that delegating the management of health care in the United States to a profit motivated middleman is a recipe for health care inflation. That point is routinely lost on politicians and journalists. The other point that these folks never seem to get is that managed care companies have in many cases acquired the means of production that they had sought to control. This creates an additional conflict of interest. If you now own all of the MRI scanners, you have an interest in seeing them run 24/7 especially when they might be covering a significant part of your hospital costs. That might explain what an MRI of the C-spine is $1,500 in the US and $150 in Japan.