You have to think in Newspeak, consult Newspeak dictionary #10 (Just kidding, that's what they'd say it in the movie 1984)
In Newspeak (Newspeak is basically another word known today as legalese) the word public is recognized as the peoples, or as far as the government is concerned, the word peoples means government, sooo, that's where the confusion lies with people.
Anyway, it's just basically a contract merger of private and government where one hand washes the other. Quite often it's a colaboration and in this case, it is represenatives for doctors, hospitals, insurance, pharmacuticles, attorny's, other hidden players and government.
All these representatives have "got together" to create the rules/regs and drive costs up. Can I say colluded?
Because: Some animals are more equal than other animals. -Animal Farm-
What the? > http://www.youtube.com/watch?v=6MTIwY3_-ks
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