While it's true the reason things start and persist are different, many would disagree about the level of central planning in the US, with healthcare being an example odd where there is a good deal of government control (everything from pricing of procedures, drug approval, and licensing to name a few). Whether that's a good thing is another question, but I think it's oversimplifying to conclude that the problem is all due to corporate feudal overlords and not at all due to government policy. Further, there is a lesson to be learned concerning unanticipated co sequences in the origin of the current system that we're in danger of repeating by having further government control of healthcare.