The question no one ever asks is "why is the bill $23,000?". The only question that ever gets asked is "who should pay this $23,000 bill?". I charge $200/hr for my time at a minimum. Did this child really receive an equivalent of 2.8 weeks of my time in services? Or did an unecessary middle man negotiate ridiculous prices with the provider, leaving the consumer out of the equation but responsible for the bill? And yet people seem to think that more unnecessary middlemen will make the situation better.