"When we debate health care policy, we seem to jump right to the issue of who should pay the bills, blowing past what should be the first question: Why exactly are the bills so high?
What are the reasons, good or bad, that cancer means a half-million- or million-dollar tab? Why should a trip to the emergency room for chest pains that turn out to be indigestion bring a bill that can exceed the cost of a semester of college? What makes a single dose of even the most wonderful wonder drug cost thousands of dollars? Why does simple lab work done during a few days in a hospital cost more than a car? And what is so different about the medical ecosystem that causes technology advances to drive bills up instead of down?"
"If you are confused by the notion that those least able to pay are the ones singled out to pay the highest rates, welcome to the American medical marketplace."
If you'd like to be un-confused, read the article. Yes, it is quite long but worthwhile IMO. For the time/attention constrained....