The reason this is so incredibly bad, is that there is no competition in Medical.

Each special interest group carved out a chunk of taxes and Power, and now they seek to expand through taxation or higher prices/lower quality.

I own a clinic and our most maligned incentives are that medicaid patients have basically free care, so they will somehow find themselves getting more visits than someone who has private insurance is paying out of pocket until deductibles are met and is much more cost conscious.