A lot of people don't know this: "...health insurance companies really do not deliver health care. What they do is distribute payment for medical care, and they make a profit by doing so." There is very little regulation. For example, when you pay for a prescription, you pay for those expensive prime time ads for drugs that can kill you ("tell you doctor if you have had an organ transplant"). What doctor does not know about these drugs? The ads are pusher ads.

Consumer "choice" is supposed to lower prices when people shop for healthcare. Yet, it is part of our culture that to get good service, you pay more. "You get what you pay for" especially applies to healthcare. People want the most expensive care they can afford if their life depends on it.
Shopping can only happen if providers give cost breakdowns. They don't. And who is qualified to assess medical procedures? 
It's the choice idea that is the problem. I trust a panel of experts in this field than my own "poorly educated" self.