I got this comment from Z-MD on my last blog which due to some glitch I couldn't publish so I am putting it here.
Your brothel story perfectly illustrates the lack of capitalism and competition in American health care. People with means will gravitate toward the more expensive product, even if the outcome is the same. Unfortunately many Americans who can't afford it still demand the expensive treatment. With government funding and insurance companies obscuring the true cost of treatments, people want nothing but the best ie/costliest care since they are not paying the full cost. If Medicare was subsidizing brothel visits (isn't sex one of life's necessities?) every old geezer would be down at the Chicken Ranch to get his $10 worth instead of paying $2 out of pocket. And if somebody's getting their $10 worth of subsidized nookie instead of paying $2, then everybody will want it, quickly bankrupting the system which is where we are today.
The point I think I made was that there is no difference between the $10 fzck and the $2 fzck and maybe the problem is not that we have "poor" people demanding $10 fzcks but rather that we offer them at all. I could give examples and maybe will some other time.