Would the institute pay the research and administrative cost out of its pocket ? while the price difference is outlandish, I do think US health care is in this vicious circle that enables those abuse.

And I personally find it unfair to put the fault on Trump's administration ( not a fan of Trump, but I do think that these kind of article erode news source credibility that allows Trump and most virulent right wing supporter to argue that most fake-news source are biased against Trump).