Not to beat this poor dead horse even further, but this line of thinking is part of the (probably unworkable nationally) notion that a return to no health insurance at all would solve a good deal of the US health care costing problem.
It’s a rather simple point: Today, you may have an OR in a hospital doing back-to-back cardiac procedures all day for which they bill on average 50K a procedure.
If people had to pay for that out of their own pockets……..suddenly, that OR would do one or two procedures PER WEEK, rather than 30–40.
Over a short period of time (during which some people might die, which is a rather large reason why this is a thought experiment rather than a proposal) all of the providers involved in those procedures (surgeons, anesthesiologists, nurses, the hospital which owns the OR and the hospital rooms, etc) would all have adjusted their billings downwards to the point that that OR was busy full time again.
Or ,as a friend of mine likes to put it….”Why is it that Lasik eye surgery (use that as a proxy for any medical procedure not covered under insurance) is cheaper than taking my daughter to get a single suture in the ER for the accident she had the other day?”