Yes, but can you personally allocate four people, two computers, a wristband, a HIPAA-compliant database, a HIPAA-compliant data entry system, and at least two barcode scanners to get an aspirin out of the bottle?

I’m making a serious point here: medical overspending is not just gobs of money ending up in a single pocket. The US medical system really is incredibly complex, and the money is moving all over the place and being spent on many things. Most of those cost centers may all zero or even negative value to the patient, but that doesn’t mean they don’t exist.