The problem is there are way too many players in the profession. Hell the medical industry can't even agree on a standardized billing system. So a healthcare system has to maintain different software and medical coders depending on which insurance company or Medicare/Medicaid patient they are billing for and run interfaces to all of them.
Then you have the medical suppliers which there are dozens of and the docs who have to have this kind of glove or this kind of suture or the dozens companies that manufacture the pieces/parts they put in you. Joints, plates, screws etc.
I've been inside an OR storeroom and it looks like a place right out of Ace hardware with it's rows of gloves sutures screws.
And god forbid the OR prep people lay out the wrong suture and or stapler.
Funny story I once heard about the University of FL healthcare system and their purchasing manager.
One of the hospitals had ordered titanium screws and he replaced the order with screws you could buy from Home Depot because they were a hell of a lot cheaper. Of course they rust like hell.
We might have pulled off a single payer plan years ago but there is just too much money involved now. Which is why healthcare takes such a big bite out of GDP. At best we can control it.
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