I believe the inequality is that the more wealthy purchase better care, or conditions, at the hospital. Therefor not everyone gets the same care.

I’m not sure how that’s different from today, other than the exorbitant costs that exist today.

It's not an 'inequality issue'. I don't have much problem with inequality of wealth or inequality of experience. It's just my experience that most people do and would rather pull down those who can afford better even if it hurts themself.