Quote from dandxg:
Honestly, it a combo of all of the above, illegals with anchor babies, ppl go to ER with no insurance, HMO working for profit, and capitalism at it's best in the big picture. What do we have after that. one big clusterf**k.
whether it's a clusterf**k depends on point of view. like all systems with significant government intervention and control, it results in massive wealth transfer from the US citizen. but it's good for the transferees. and there are many levels of them, each skimming off a piece.
the fundamental problem is that its a perfect good to manipulate -- your health is almost totally price inelastic. "money or your life" is not a tough choice, most people will pay anything they ask. and most consumers are completely ignorant of the product, with limited or no ability to comparison shop and at the mercy of the supplier.
add in govt. manipulation: artificial supply reduction through licensing and accreditation, subsidies, laws and regs favoring the insurance and pharma industries, research grants, drug trade controls and patents, etc. and yes, it's a huge clusterf**k -- for the US patient anyway.