If your car needs repairs, you take the car to a service center. The service center then takes its needed steps in order to repair the car. You pick up the car, to find the same problem still in existence. You take the car back, your money is refunded (or you fight to make sure it is, typically), and the whole process starts again.
If your wife is sick, you take her to the hospital. Their doctors claim to do their best, but how do you know? You pay hundreds of thousands of dollars for tests and procedures, yet she still dies...and you are still billed...
Why do you pay for a failed service? Why do you tolerate inefficiency on such a grand scale?
With nothing else in your pathetic lives do you pay for a defective or failed service/product...but you pay for anything a doctor bills you for...
Why are people so quick to give up their basic intelligence to some fool in a white coat? I've met plenty of doctors, more than I could justify, and there are plenty of them out there (by most accounts) who have absolutely no business opening a bottle of aspirin, much less your chest cavity. Humanity has been able to last for quite some time before we needed holes punched into our heads, or teeth ripped from our jaws.
Just the term 'managed health' should horify you and send you up in arms to take your local HMO with force, stringing empty wheelchairs together, chained togeter with bombs that have used syringes as shrapnel and rigged to blow with mixtures of various hospital chemicals. Waiving a flag on the helicopter landing pad that has a white circle-face emblazoned upon it with x's for eyes and a crown of syringes jabbed into the skull. Yes, this is managed health.
The medical industry should be labeled a terrorist organization and made to suffer through war crimes tribunals. Yet even if they were, you'd keep bending over and begging to have anything large, inneffective and needlessly expensive crammed up your ass. "Just keep paying your bill, Mr. Moron, because bend over, here it comes again!"