The Constitution is an extraordinary document. Life for most humans for most of human history has been poor, nasty, brutish and short. The Constitution acknowledged this past (and present) – and transformed our future.
In ancient times, wealthy city-states built impregnable walls to ward off attacks from neighboring tribes and other enemies. Today we have a modern-day equivalent in North Carolina, where a few large hospital chains benefit from impenetrable defenses in the form of certificate of need (CON) regulations protecting their wealthy practices from the menace of competition in the form of smaller, more innovative providers that charge less.
That is what our system needs. Not third-party payers who know they can always raise premiums to cover these ridiculous costs so never bother to argue, but engaged (and sometimes enraged) consumers who refuse to be treated like patsies.