Because there’s too many people trying to make a profit off ot it. In most places the cost from somewhere (national insurance, private insurance, individual, etc) has to cover the cost of goods and services provided. That includes the labor of the doctor, nurses, support staff. Plus supplies like gloves, bandages, office space, electricity, etc).
In the US it also needs to cover the massive profits that many others involved expect to see. Private equity, investors, the many people tied into the insurance companies, etc. It’s treated as a “make as much as you can off it” business model instead of a critical need for cost/compensation model. Most costs go to line the pockets of people completely uninvolved in the patient care.
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