It’s a problem in Canada as well, when the governments start slashing healthcare costs it’s often targetting management and beauracracy. IIRC the last time that was a thing the estimates of the cost of managing was way out of whack with the cost of the front line workers.
But it’s so much worse in the US. We have umpteen different payers each with their own internal bureaucracy and each with their own claims form and submission process which then expands the administration staff needed by the providers.
Never thought I’d live to see the day where a system run by Canadian beauracrats is more efficient than a system run by American capitalists.
Yet, here we are.
A third of healthcare costs?
I need a raise.