In front of me at the counter was a British expat. He was astounded that his HMO had changed the rules on him as of January 1st. The medication he wanted would now cost him over $100. He was going on about how his HMO could be allowed to do this.
I stepped in to explain it to him:
Friend, you have to remember that health care in this country is a for-profit business. American health care is the same as other for-profit businesses, like the gambling industry or porn. Only with less integrity.
The pharmacist was not happy with me, but I got my decongestant. Business marches on.