profit driven business is the only way...
unfortunately the extreme government regulation don't let healthcare market to be a real market. the additional issue is a 3rd party payer.
the only way to cut costs of healthcare is to make health insurance act like a REAl insurance.. which means to have everyones skin in the game.

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Человек, который почувствовал ветер перемен, должен построить не щит от ветра, а ветряную мельницу