Business spending on health care also has some built-in unfairness. Small businesses pay more for health insurance because they have less clout to negotiate discounts with insurers and managed care plans. At the same time, big companies that provide insurance bear the brunt of the added cost hospitals and doctors incur attending to people without health insurance. In addition, all employers pay more for health care to make up for underpayments to hospitals, doctors and other health providers from the government. An oversupply of hospital beds and specialty doctors Accelerating costs for physician and other health professionals' services relative to other countries Excessive medical testing to protect against malpractice suits High costs in administering health care Excessive and inappropriate treatment at the end of life.
Health care is a large, diverse and rapidly evolving segment of the economy.
Medicine is also a very human enterprise with certain built-in high costs. Hospitals, for example, are very expensive places to maintain and run. New drugs and medical devices are very costly to develop and bring to market. But most experts agree out system is riddled with inefficiencies, excessive expenses, inflated prices, poor management, inappropriate care, waste and frwud. They disagree on the best ways to address these serious problems.