Most people do NOT understand that the 'cost' of health care is not that they are 'using' lots but that the providers are charging at 'what the market can tolerate'.
People are made to feel guilty rather than realize that the 'cost' is what health care expects to receive. This has to change and be EXPLAINED!
For example, I had an ultrasound on my knee done in the US ... $1,500! I had the same ultrasound done in New Zealand and it was free. But if I had chosen to pay it would have cost $150.
The Government does dictate the 'cost'. This also causes problems and long waiting lists however, it keeps the cost of health care reasonable.