>>A certain procedure was 40.000 if the patient was covered by an insurance and in the end (by credits, bypassing the fraud filter), only 20.000 if the patient paid privately. The (exact) same procedure in most of Europe, less than 5000. Please explain ... ???
I suppose I can explain to an extent as I've spend over a decade looking at exactly this! Was this a physician practice or a facility?
"... They ne'er cared for us
yet: suffer us to famish, and their store-houses
crammed with grain; make edicts for usury, to
support usurers; repeal daily any wholesome act
established against the rich, and provide more
piercing statutes daily, to chain up and restrain
the poor. If the wars eat us not up, they will; and
there's all the love they bear us."
-- Shakespeare: Coriolanus, Act 1, scene 1