The system is expected to produce zero errors with imperfect human beings. Prices for doctor visits can be posted rather easily, but the patient isn't choosing what is finally purchased. What type of visit, how many ancillary tests, radiology, drugs, consultants, hospitalizations, surgery? It is a work in progress, and you can't keep asking the patient if they want to continue with another transfusion. Electronic medical records will improve care only in relation to how many providers have timely access.
Cost savings only occur when a physician selects treatment options in partnership with the patient with real cost-benefit data. Privacy issues are trumping teamwork so every segment of medicine will continue to submit more bills for more services. The standard insurance company report card grades doctors on last year's data as a global percentage of a subset of stated peers. You can't teach a dog new tricks six months to two years after the fact.
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