[Tostino]

You don't know people who live near the margins then. Cost was pretty much the primary decider for me prior to making a decent living, so much so that I put off rotator cuff surgery for 10 years because I couldn't afford to have it done, no matter how much I "shopped around".

[sokka_h2otribe]

I think the posters comment was in a vacuum- I, too, did not consider cost when I got a surgery.

It was part because costs aren't transparent, but also because the costs were the same to me after deductible.

The only truly cost aware folks in the system would be Amish on community insurance funds or similar odd edge cases