It depends on who's in charge at the moment. "Dr. Trump will see you now...."Isn’t everything covered in Medicare for all?Oh, so you're against Medicare For ALL....good to know.......Most people don’t want budget surgery...Well easy, you shop for it, if the doctor says 400k, you say Ill keep looking and maybe find one for 320k.....Do you not know how to shop for a deal? Is this new? Right now, that doesn't happen.....So I pay for my $400k heart issue &then hope the insurance company pays me? How does that help if the providers know you will get reimbursed?No, what should happen is you should be reimbursed by the insurance company after you find the procedure and pay for it.....if you want lower cost, you cant have the patient dislodged from the cost......it's why consumer electronics are so cheap.......because people cant buy what they cant afford.