Why does cost containment remain an elusive goal in US healthcare delivery systems?

Cost containment in US healthcare delivery systems remains elusive due to a combination of factors, including the complexity of the healthcare system, high administrative costs, and the fragmented nature of care delivery. Additionally, the fee-for-service payment model incentivizes volume over value, leading to unnecessary procedures and overutilization. Furthermore, the lack of transparency in pricing and varying levels of access to care contribute to inefficiencies and rising costs. As a result, achieving effective cost containment requires comprehensive reforms and collaboration among various stakeholders.