The system is broken in multiple ways. Government interference and low reimbursement rates drive hopitals to attempt to make the difference from non-government patients. Lack of competition makes hospitals bloated and inefficient. The third party payment system discourages patients from shopping around and factoring costs into treatment decisions (especially in the case of elderly medicare patients). Finally, technology and innovation have driven the demand for the newest and greatest diagnostic and treatment tools but at very high cost. Health care in this country reminds me of the the F-22 airplane -- a technological marvel unmatched anywhere else but so expensive and complex we can't afford to fly them.