That is because it is regulated. It is standards on process that lead to waste.  The dentist in our north-sea country are the worlds finest, but expensive. Why? Because mandatory healthcare has become a organism that encourages leeching. So every movement they make, every surcharge they can think of are employed to increase revenue.  After all, they have to pay off student debt....  You dig?  It is pack and.parcel of the system. It needs inflation. And when it does not occur naturally, it will be caused by. Gov.