Because so many hands are involved between you and the therapy rendered that it has become essential to play a game of how many medical codes can we tack on to each interaction with the system.
That in turn creates another layer of costs with administrative work that needs to ingest said interactions coded and decide many things about it. Is it covered. Can we find a way to deny. Is the provider/facility/drug in our members only club. Decide the rate. Decide the discount. Etc etc etc.
Each of the above is a whole layer of “professionals” on its own.
So with your simple visit to the doctor for your cold. A world of bureaucracy opens up and needs to generate a paycheck for itself and of course that world is employed by a company or companies who need to generate share holder value each year so the system grows on schedule like a Swiss clock.
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