Physician salaries stagnate or go down. Hospitals start to ration services and spending, and at the same time hospital administrator salaries surge.
Costs <> Charges <> Prices
It makes you wonder what aggregate health care spending really is. My daughter had a recent ER trip that ended up costing $1k; supposedly that was a discout from the going rate of 5k because she was covered by BC/BS, which didn’t pay a dime , while I coughed up $1000.00 that could have been avoided with a simple phone call to the house.