Half of the cost you are paying is because of tort issues. Do you have any clue what medical malpractice insurance cost? Do you have any idea how much it cost to run a facility? An ambulance? Instead of bitching about how much it cost why don't you look into it. And with your beloved Obamacare it's going to get a lot more expensive to run any of these, not to mention the bed tax, and some new proposed taxes on EMS providers and the cuts in Medicaid and Medicare.