There's no getting around that fact. That alone does make me wonder if we'd be better of as a society by nationalizing health care. The fewer costs involved in a doctor visit, the cheaper the service. I do fear a little for the proven ability of the government to waste money and lose that benefit, but hey, who knows. This is about math, and it doesn't take a genius to deduce that the more middlemen you have making profits, the more society as a whole pays for the service, one way or another.