I enjoy your articles Charles! Food for thought on this subject:
1. A tube of Efudex cream is ~$400 here. I can get the exact same tube from Canada for $60.
2. My office might make $1200 on a complicated 4 hour skin cancer surgery/reconstruction. An acquaintance 's recent 45" hysteroscopy/D+C in the hospital cost over $40,000.
3. Over the past 30 years the supply of MD's has barely increased while the number of administrators has increased 2500%. 
4. Aetna's CEO has a compensation package of over 36 million dollars (!!)
5. Medicine's top earners are not the highly-trained physicians who dedicated 12-18 years of the prime of their lives and who spend their days and nights talking with and caring for patients. Hospital and insurance administrator's salaries far eclipse those of physicians.

This is such a timely subject...please do it justice-