Thanks! I read the interview. The history is interesting, of course, but I do not see any way to change such a massive system. On the other hand, when you consider these other alteratives, you might be able to arrange something for yourself. Every now and then, you read about a doctor who refuses to accept insurance and only bills directly.
Working on behalf first of our mother and then his wife, my brother, who is more of a business manager than I ever would be, was intrigued by all of the complex billing involved in a hospital stay. The one perspective I bring is from the viewpoint of physical security: everyone wears a lot of badges; and everyone wears scrubs; anyone can be anything. In terms of this topic, it just reflects the fact that you, the patient, have no idea who is treating you, or treating you which part or procedure.
From the article interview, I did not know that there is no billing for a general office visit, for a consultation. It explains at least one of the unnecessary procedures that I got in an office: they have to have something to bill for.