In restaurants, there are very few instances of businesses lowering their prices, or giving food away, because someone is too poor to afford their fare.

Likewise for hardware stores, groceries, and etc.

This happens far more frequently in medicine where services are often given away to the poor in emergency rooms and clinics.

Doctors often make choices for “health care allocation” on the basis of hundreds of factors having nothing to do with Emanuel’s Immaculate Allocation Graph tm.

The only efficient way to control costs without seriously compromising quality is patient choice/patient pays, just as it used to be, and just as it is for other goods and services. (reimbursed by insurance, when applicable)