You leave out the reason why health care cost went up in the first place. Look at the history of health insurance. Health care cost didn't increase because cost increased, it increased because the medical industry now had someone to pay more so they could charge more. Before insurance entered into health care , cost for a doctor were the same as cost for other professions. When you are dealing with something that people have to use you can charge what you want. They can charge you 1000 x what it cost them for the crutch. What are you going to do in the hospital with your new cast , crawl home ?
They are not overcharging because their cost is high, they are overcharging because they can. You can't compare health care to other free market items like cars where if I don't like the price I can go somewhere else. When you are dying in the ER you pay whatever they want.
There's this terrific urban legend that hospitals can charge whatever they want and get paid for what they bill, and that the material cost of the product in some way relates to the service associated with it.
If what you are saying is true, why did hospitals have to merge or go bankrupt a few years back when reimbursements were changed? I drive a 2005 Impala. I wish I had the kind of money some thing I must have.
So suppose you were say, someone who works on multimedia for Hollywood, and you land a contract to make SFX. Let's see, there's the cost of the disks to distribute, and a computer and monitor.
You should be making about 5k a year.
Here is how you can make hospitals charge less.
Allow them to refuse treatment to those who can't pay or who have bad credit. If a patient comes into the ER, and it's not life threatening, they have to see someone else. If they are wrong, too bad. They are legally protected. Time is money.
Specialists spend a lot of time training and are costly. Patients can only get sick with something needing general treatment unless it's between 9 and 5 Monday through Friday.
Here's a big one. If the situation is more complicated than anticipated the hospital sometimes has to eat the cost. So when the expense of treating the patient exceeds what will be paid, the patient leaves. Again, the hospital is immune from lawsuits. It's what people wanted after all.
Hospitals function around the clock. There is staff to take care of people and anticipated needs which do not always materialize. They cannot control the workload. They cannot reduce staffing because staffing is always cut to barely safe levels to begin with. Costs you know.
I'm still waiting for my Lambo.