This is a global fee. It includes preoperative workup, the procedure and postoperative care for 90 days. Can easily entail five hours of physician work. Now you’re down to $100 an hour, out of which must come overhead, typically at least 50%. Now you’re down to 50/hr or less. Try getting that rate from a lawyer or even a mechanic. Try to convince a bright young student to take on a few hundred k in debt and at least 11 years of training for that.
I was being sarcastic but there is some validity to my point. The current system is financially unsustainable now and in the future. There is simply not enough tax revenue to support current payment levels. Rationing may be inevitable, but I would rather see market forces decide the issue rather than the government. Of course there are no free markets in health care but that is another thread.
I take it from your screen name that your are or were a physician in the military, and for that I thank you for your service.