Earlier quoted context omitted.
Which industry are you talking about? The pharmaceutical industry is international. Many of the big players are headquartered in UK, Canada, etc. Hospitals are mostly non-profit, and mostly purely domestic.
The pharma-hospital-insurance complex. The same non-profit hospitals in which at least one person you're seen by will be out of your insurance network because it makes more money for the hospital. The same pharma companies which evergreen and lobby for drugs to be ruled unsafe once patent rights run out. The same AMA that limits the number of doctors and ensures they are paid more than any other country while patient…
In general:
* Insurers try very hard to keep costs down.
* Unions try very hard to keep labor costs up.
* Drug makers try very hard to keep drug costs up.
* Hospitals just try to survive.
* Medical provider try to keep a decent work life balance while paying off their student loans.