The solution to high healthcare costs should start with price transparency by medical providers. It is anticompetitive to require small insurance companies to pay a higher price for the same medical procedure. It serves as a barrier to entry and reduces competition. Large insurance companies, small insurance companies, uninsured patients, and insured patients should all be able to pay the same amount for a medical procedure. The healthcare providers should be required to post the costs of each of their medical procedures so that consumers can search based on cost and on quality. Capitalism doesn't work for the consumer without price and product transparency. Airlines are legally required to post their prices with all taxes included and in specific sized font.