There's several reasons for that and why the cost of going to the doctor's office is so high and the solutions to help relieve them:
1. Government - This IS the number one reason for ALL the high costs. We pay nearly $1 trillion every year for Medicare and Medicaid through tax payer money, and when the people who have enrolled in this program finish their appointments with their doctors and the bill was sent to these 2 entities and payment comes in, the doctor's and their staff get next to NOTHING from these places. A lot of times, because this happens almost daily, Medicare and Medicaid both withhold money from doctors and their staff because, well, the government is quick to demand money from others, even threatening to fine them, but extremely slow in paying those that they need to pay, and it's never the promised amount (ends up being much smaller). Putting it simply the people running these programs are d!cks like that. There are many other factors to go along with this, but the solution to help bring the cost down on doctor costs is GET THE DAMN GOVERNMENT OUT OF THE WAY AND LET THE FREE MARKET HAVE FREE REIGN!
2. Health Insurance Companies - This is problem number two. As said earlier, the health insurance companies are businesses first and want their money. People over pay for these businesses, and like the government, although not to the extreme that the government does, they too withhold money from the doctors and their staff. Two solutions here if you want to see prices go down, and those are erase state lines and choose insurance that won't cost much and the doctors and their staff get paid, or get out of insurance entirely and pay cash (like I'm doing right now), with or with out a health savings account. The insurances will get in line because they want your business, but one thing to keep in mind, it's better to stay loyal to the doctor you like than to stay loyal to your insurance company. Other wise, it'll be the insurance company that will dictate what you can and can't do.
3. Big Pharma - There are people out there that do need medication. However, what most people don't realize not everything can be resolved with pills. Unfortunately, big pharma knows how to be persuasive with people. They'll put out their ads, saying if you 'X' for 'XX', your 'XX' will be cured (basically is their message). But for anyone that knows, it's not the case and the big pharma guys know it. Due to the high demand, though, they jack the prices up because there's nothing else available anywhere else with the street cred to get their name out their, and the insurance companies won't cover the better meds because they're too expensive. The solution here is to elect the right people that will set up a deal with Canada and other countries with the same drugs at a much lower price. Big pharma would start losing money and would have no choice but to lower their prices so they can compete and the insurance companies would be able to pick up some of the cost.
4. People - In the end, it ultimately comes down to people. Do many people have health problems? Yes. Do some of them have financial issues? Yes. Is it necessary to be on Medicare and/or Medicaid? No. Is it necessary to have health insurance? No. Is the type of medication they're taking actually going to heal them? No. My advice to people out there, figure out your financials for payments to the doctors office, then save up. Do NOT rely on insurance companies to get you out of paying your bill. If the bill is $50, pay $50 and use your insurance another time. Lastly, take care of your body. Only you can do it. The doctors can help, yes, but YOU need to take the initiative in doing so. I found out, after 12 years of not going to the dentist, I have neglected the health of my teeth and now I have to go through an expensive process. But now I know what I need to do to make them healthy again, thanks to my doctor, and now I'm taking steps to make sure my teeth are healthy again. If you have diabetes, stop eating so much sugar? Overweight? Start dieting. There are ways to help lower the cost of healthcare, but it comes down to the individual to make it happen and them not putting all of their bills on someone else in which they won't pay and meds that don't do much. YOU need to take care of yourself. Most of you are adults, put on your big boy/girl pants on and take responsibility for your own actions.