You're right. It's a big problem in second-party and third-party payment systems.
Insurance is a second-party payment system. Government is a third party payment system. First-party is what we want, third-party is the least efficient.
So what is first-party? Out of pocket payment for treatment?
My dream... is to fly... over the rainbow... so high...
Cogito ergo sum
VHS is like a book? and a book is like a stack of kindles.