Doctors and health care have gone for corporate profits, and Medicare and Medicaid are prime areas of abuse by the medical and health industries.
The best medical care facility in the country, the Mayo Clinic, has a per person health care cost that's less than half of what is routinely charged by many regional medical health care facilities. That's due to an institutional philosophy of patients first as opposed to profit first.
As for the rest of the health care industry, the status quo is what's going to break us unless we do something about it.
http://www.newyorker.com/online/2009/06/01/090601on_audio_gawande
and
http://www.dartmouthatlas.org/interactive_map.shtm
Sherwood