I know medical is high, because I just had surgery.
I know for a fact too there is a lot of waste in the hospital system and our doctors offices too. I have always said that insurance has corrupted the country and one day will break us all. It has corrupted our doctors (greed), the patients suing everyone they can, and judges and lawyers! This BS is going to have to stop soon, or we are all going to end up throwing a brick through a window and be arrested, but be covered medically by the law.
The system is screwed up, no doubt. There are a ton of problems, but personally I don't have an issue with the Dr's themselves. These folks have to go four 4 years of undergraduate and then 4 more years of medical school. (Of which the costs are huge and they go into big time debt). Then once they graduate, they can't just go out and hang their shingle and get patients. They then spend 3 to 7 years in residency. (Granted they get paid but the pay isn't that great (30-50K per year)). When you think of it, a person who spent 8 years in college and has the knowledge to save a life, makes less then a UPS driver. FAR LESS then a UPS driver. All while having a debt of hundreds of thousands of dollars due to medical school.
Then once they get out of their residency they then often get a fellowship for more training. Then after that, they then can work as a full fledged Dr. That's a lot of time, a lot of money that they spend just to become a Dr. Then the salary of a Dr becomes quite well, 250K, which is a lot and sounds like a lot. But it still takes quite a few years (decades) before the total returns (no earnings while in college + debt of going to college) is offset by the salary you earn when you are a full fledged Dr. vs if you just went to a 4 year college and got a professional career. Also when your little girl is being operated on, the last thing on your mind is hey.. I could have gotten a Dr that's a bit cheaper and he's almost as good.
I think a big problem is the US government rules on medicine. They and the AMA, try to make it so preventing disease and curing disease is not their goal, it's treating a disease. A large part of problem though is us. How many of us, weigh 10 lbs or more over an ideal weight? How many of us, don't make the healthiest decisions on our diet? how many of us don't get enough aerobic exercise? How many of us don't get enough sleep? Then we wonder why we feel bad and go to the Dr and expect to get a magic pill to fix our problems.
I was amazed about a year ago when I visited a friend in a rehabilitation hospital. The guy in the next bed was an older gentlemen who had fallen and hit his head. He was 70 ish and had Type 2 diabetes. Well, the nurse came in after dinner and determined what he ate (ie mashed potatoes, apple sauce etc) and then said he needed x amount of insulin to counteract the carbs\sugars he just consumed. I was appalled. Helloo..... why didn't you offer him healthier food, why didn't he have a nice healthy salad? Why didn't he have some fish? It's our culture that "this drug fixes this problem" etc.
I'm no angel, I've lost weight, and still need to lose more, I exercise some, but need to exercise more. I eat better, but could eat better still. But it just amazes me how bad we treat our body and expect a Dr to fix and then complain about how expensive medicine is.
A lot of folks out here are car buffs. If you had a really really nice car, many people would take care to wash it, wax it. Change the oil's\fluids. Fill her up with the proper fuel etc. If there is a problem to fix it right away before it gets worse. Yet often the same people don't treat their body the same.