10-08-2016, 06:12 AM
@ kalakoa: A lot of that money is going into the pockets of insurance company executives, some (but not all) of whom have multi-million $ salaries. A lot more is going into the salaries of paper pushers at both the insurance companies and the providers' offices. Our patchwork system of insurance companies has produced the highest ratio of administrative expenses to care costs of any "advanced" nation. One study I read recently said that 32% of our health care expenses are directly related to insurance administration. The reason Obamacare is failing is probably that it did not go far enough toward a single payer system. Even the Democrats who passed Obama's "reform" felt compelled to pander to the insurance industry. Bringing it back to Hawaii, Kaiser seems have moved toward the bottom ranking of these administrative nightmares by having crappy cost accounting department. Costs did not go up 300% in one year!