The key phrase here is "usual and customary". The insurance companies are squeezing hospitals/doctors.
One area to examine is individual responsibility. If I smoke, have a poor diet, do little/no exercise, it's reasonable to expect I will have health problems. Who should pay for that lifestyle?
"If we talk about the economy, we'll lose"
-Bush44's top aide
"This campaign is not about issues"
-Rick Davis, Bush44's Campaign Manager