[gramsey]

What kind of point are you trying to make?

> And yet people from around the world fly here every day to have critical surgeries performed by the world's top doctors in state of the art facilities.

People fly to many first-world countries for medical care, including "Canada and Europe". Yes, if people have vast sums of money, they can receive excellent medical treatment in the US (as they could in many countries).

However, that's not the problem though, is it. The problem is that in general, most Americans fall behind in health compared to other first-world nations.

> but there needs to be some method of exclusion when demand is high and supply is low

Are you arguing that the state of health of the majority of the country is irrelevant as long as high-income earners can receive the best medical care?