I agree with your points, especially on how rules and regulations can increase the cost of healthcare.The need for continuous training to keep up with changing regulations indeed adds to the cost. I agree that the average American might find it difficult to understand the intricacies of payment systems like the Prospective Payment System (PPS). This lack of understanding can lead to confusion and dissatisfaction. Medicare's rules and regulations can be particularly complex, and understanding what services are covered and how much will be reimbursed can be challenging for patients. fix my sentences