[palmer]

someone is making money. A lot of money.

Not necessarily, the money squeezed out of insured patients like your niece is used to fund uninsured care. Also like the author shows, the money sent to the neediest doctors is a joke so naturally they will affiliate with a big bucks hospital just so they can keep providing care out in the country.

[DB]

It is certainly a mess.

Another example of government intervention.

What's worse is people will demand more government intervention to "fix it" only to make it worse.