[topaz0]

$300M/year is less than $1 per person. This is not why healthcare is expensive.

[paulryanrogers]

The opaque costs add up. If nothing else all the layers make things slow, when time is the difference between life/health and death/illness.

[ecosystem]

It's ~$1/person direct, but how much indirect cost? Things become inexpensive when automation and technological progress makes them so, and the code copyright and restriction is a major barrier to do that.