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>> coordinate to manage patient flow

Right there. That's why the costs are so extreme.

Where is it written that someone must 'coordinate to manage patient flow?' Show me what fundamental principle of this nation mandates that some body of colluding apparatchiks are supposed to 'coordinate to manage patient flow.' What great benefit is achieved by subjecting every evolution of the medical system to a horde of bureaucrats?

The entire medical industry is rife with this mentality; that nothing may exist without the blessing of a dozen regulatory agencies and another dozen industry trade groups, all actively colluding to prevent any market forces interfering with their fiefdoms and livelihoods.

>> Hospitals are not something you want competitive churn in.

Why? Where is that written? What makes you think competition would be bad?

You're going to claim something like "churn would make medicine dangerous and put lives at risk." Maybe. That's your guesswork. The last major illness I had -- the only one more exotic than a flu I've ever had in my life -- was C. diff, contracted in a US hospital while visiting a patient. Don't tell me the unbelievably huge costs of our medical system are some surety against risk.

The US medical system is the biggest bubble in the history of our species. At some point the forces of nature are going to pop it. That's not a right wing view or a left wing view. It's just physics. These costs cannot continue to compound unless you're willing to employ gulags.

I'm betting that in the aftermath a full featured ultrasound machine will cost maybe $15k and the biggest measurable effect of that (if anyone is bothering to measure at that point) will be that there are more of them and more people will have access to them. And yes, I'm fully willing to risk whatever parade of horribles you can imagine. I'm also willing to make you risk them as well, and the pressure being created by spiraling costs means that have eventually I and the many, many people that also share my view, will have the power to do exactly that.

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