Let’s say you want to get your oil changed in your car at one of these many oil and lube spots around town. They are willing to charge it to your account. Later, you receive a bill from the shop for $25 and you pay it. A few days after that, a bill arrives from the lead technician for $10 for 15 minutes of his time. You realize the first bill was for the use of the oil change facility only. Again, after a few days, a bill arrives from the tech trainee for his services for $7 for his 15 minutes of time spent in vacuuming your car and cleaning your windshield. You pay, thinking the price of oil has gone up and all things considered, $42 though a bit high, paid for a pretty good job on your car. Two weeks later, you receive a bill for $18, including a variety of items such as environmental disposal fee for the used oil, non-standard premium oil surcharge for the replacement oil, etc. How would you feel?

Fortunately it has not yet devolved to this for the mere practice of changing oil, filter and lube for your car. Why do we have to put up with this sort of billing practice for our medical expenses? I suppose the logic is that if you receive 5 bills for $200 each, it doesn’t seem as bad as 1 bill for $1,000.