10/21/2025
More regulation = more administrative tasks that drain resources from patient care.
Administrative costs in the US healthcare system have long surpassed the cost of direct clinical services. Layers of billing departments, insurance pre-authorizations, coding compliance, claim denials and middlemen (like PBMs and hospital administrators) translate to hundreds of billions of dollars annually. Physicians and nurses spend more time clicking boxes and fighting insurers than treating patients, while medical offices employ entire floors of people just to manage billing complexity. It’s a perverse system where administrative machinery—not healing—has become the main product. Americans end up paying more for bureaucracy than their own health. The result is a system optimized for paperwork, not patients.
