Just got my bill for a recent 20 minute doctor visit (with one of the best HC insurance coverages in my state: $1,600 cost, $1,400 adjustment, $200 out-of-pocket given my $3,000 OOP limit was not reacehd). Absurd. The USA will likely never get to an efficient govt. single pay system (unlike every other industrialized company). Given this, the option I hope for is that the FedGov passes a law that requires all Master Charge prices to be based on "Acitivty Based Accounting". ABC would provide insights for greater operational efficiency, and the 1600>1400>200 magic hand-waving would disappear. There would be a great loss of employees for health insurance portfolio analysts, but most of them could move into cost accounting roles for hospitals. Please GOP/DEM consider this.