[nanidin]

I have very little experience with the existing medical establishment, so forgive me if I've imagined a scenario that is not relevant. I would like to be able to go to have a scan done, receive the scan data, then have the choice of submitting that to a radiologist of my choice or to an AI service of my choice that can read and recommend next steps. It seems like such a scenario is stifled by the existing way of doing things.

My experience with getting a sonogram was that the sonogram wasn't that expensive, but getting it read was hugely expensive. I understand that there are issues of liability, but it's really frustrating that I'm saddled with a high deductible healthcare plan where access to useful medical stuff is stuck behind 3-4 digit costs. Want antibiotics, inhalers, ADHD meds - all of which are pretty cheap in generic form? Pay $100 to the doctor for the privilege. People have very little agency in this system.

I guess at the end of the day I'd like to see open data (I'm able to get the images/data from all kinds of scans & diagnostics), and some kind of transparent system for submitting my data for diagnosis or analysis. There may be caveats & waivers, but I'd be willing to pay $10 to an AI service to tell me "You definitely need to consult with a radiologist based on the data presented" before I pay a radiologist orders of magnitude more to tell me that everything looks OK.

[unsrsly]

You're making some very interesting and valid points. You've correctly identified that when receiving bundled services you lose the ability to negotiate or comparison shop on the basis of price. This is unfairly combined with a legal presumption that when the healthcare system generates a bill, the bill is valid until proven otherwise. Now, although we probably need more physicians, I don't think the limited supply of physicians is the primary reason for this situation - it's more due to increasing market concentration of health insurers on one side and hospital systems on the other, leading to regional monopolies that don't compete on price. In fact, with the decline of private practices and the rise of hospital systems, physicians receive less than 10% of all healthcare revenue. I can see that you'd like to unbundle your healthcare and regain control over prices, and I think that's a very reasonable thing to want.