Why do people who have healthcare and technology get paid a lot?

Few of my patients under 65 have that many chronic medical problems. Most of them have three or less. Even so, I have a patient with only high blood pressure and high cholesterol and because he has to buy his own insurance and is considered high risk by the insurance companies, his premiums for just his own coverage are $900 a month. In the 9 years that he's been my patient, he has not run up enough medical bills to ever even meet his $2,000 deductible. He even buys his medications at Costco so the insurance isn't even involved with that. He's 64 now so, next year he will be eligible for Medicare and, for roughly one third the price, Medicare will cover 80% of his medical expenses for the rest of his life. The private insurance plan that cost nearly $100,000 over the last decade will be done covering his medical conditions. And they'll have paid hardly anything for his medical care. Again, where is all this money going?

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