> You don’t think the big health insurance companies in the US do the same thing?
To the multiple peers who point out the US uses MBAs too. I'm pointing out that both systems use MBAs and come to the same conclusions such as "We can save n% by using n-1% less effective drug."
The US MBAs have figured out that procedures should be expensive. The health insurance industry as a whole would rather collect 15% of trillions spent than 15% of billions spent.