I believe it. The administrative overhead is huge in private health care. I did some contract work for a doctor a few years ago and it was amazing that this small office had a staff of 8 or 9 people basically devoted to moving around paper files, making copies, making phone calls for prescriptions, etc. This small general practice office had probably 12 employee's total but only 2 doctors. So using this as an example that's an administrative/care ratio of 6 to 1. When you widen it out to tests, drugs, etc the actual number of people directly giving care to a patient is tiny compared to all the supporting elements.