I think if we hope to see lower medical spending, Americans will need to become more involved with choosing their treatments. With our current 3rd payer system of government or insurance paying around 90% of our health care treatments, there is little incentive for hospitals or physicians to offer lower cost options. For example, one of the more profitable areas of our medical system is Lap-band weight loss surgery. An anonymous doctor wrote an article on how the surgery helps generate a great deal of profit for many working in the health care system. She has noticed though, that by and large the operation is unnecessary for most, and that there is a cheaper and safer way for the patient to drop the pound. The problem being if she told the patient the truth, she would be fired.
"Bariatric Whistleblower: Fake Nails and Lap-Band"
http://www.wheatbellyblog.com/2012/0...-and-lap-band/