@aadam101:
The problem isn't so much that the cost is too high. It's really that all of the prices are just made up. If you go to the ER right now with no insurance you will be getting multiples bills in the mail for months to come with just totally make up prices. Nobody pays those prices. Insurers don't pay those prices. Medicare and Medicaid don't pay those prices. Even the uninsured don't pay those prices. It's a crazy system where nobody knows what anything costs. I work in healthcare finance and have for most of my career. I have no idea what anything truly costs.
Healthcare providers know very well what healthcare costs. They enter into contracts with and negotiate fees with insurance providers all the time based on those costs.
But what you say is very true. The inflated fees that people without insurance are charged dates back to a time, now over 25 years ago, when some insurance companies paid bills without question, except with some very high limits. Providers set their fees so that they were never lower than what the most generous insurance provider was willing to pay. Now things are very different. Insurers, especially Medicare, which sets the standard, determine fees. Most private insurance companies ay about 85% of Medicare, some less. Medicaid pays bout 30% of Medicare.
This part of healthcare costs has essentially been controlled. Any further savings will need to affect utilization, especially of high-priced technology and new drugs. The anticancer drug Keytruda (which you may have seen advertised on TV) costs each patient $200,000 a year. As long asa drug has a patent, they can charge whatever they like with no competition. Any talk of rationing care is met with great resistance from across the political spectrum. Yes, heakthcare is cimplicated.