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> Why can you not just give them their pills and charge them the real amount. Why do we need this bureaucratic hell and pretend we're here to help people

I can get my drugs from people like this but you can’t because you prefer this system. Having chosen a system with heavy import controls and an overbearing government regulatory agency, all of which you are likely a huge fan of, there’s not much point to being upset that it yields high prices through an opaque system. The thing you want creates the thing you don’t want.

One might as well rage at getting wet when you stand under the shower and turn it on.

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We could have great public systems, but their is a fundamental problem that perpetually keeps these systems unstable:

The people who pay the most for these systems use them the least, and the people who pay the least for them use them the most.

At best you can have a system where the people paying for it are respected for their contribution (and likewise feel good about it), and the people using it are ever grateful for what their receive (and can shamelessly feel good about it).

But man, have you ever dealt with average humans?

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> Why can you not just give them their pills and charge them the real amount.

You can, you would just end up without income at best, or charged with a crime and imprisoned at worst.

Also, all these complexities in healthcare exist due to 90% not being able to afford it, so the complexities are to paper over politically unpopular subsidies from various groups of people to other groups of people, in varying amounts. The other part of it is the nebulous costs of liability, that potentially reach into the millions for each interaction.

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