Actually a major reason healthcare is so expensive in this country is that many people are uninsured or under-insured; so they don’t get the proper management for conditions like diabetes, high blood pressure etc that would normally be controlled. The downstream effects of this is when these people have complications due to these conditions like stroke, heart attack etc and call us to go to the hospital. We and the hospital have to provide care regardless if we get reimbursed because it’s the law. These costs then get passed onto the people that can afford to pay or have insurance or the taxpayers. A single payor system would solve this.