But instead of three - pages bill you get in Belgium, medical bills in the US look more like this. I am my son’s (10) , I spend a lot of time taking care of just medical bills and phone calls and that type of thing. “ We talk a lot about the billers and the coders and the (11) who really could be removed from health care, they're not there because they care about health , they're there because they see a business opportunity and you know you can't (12) them in the sense that's what their companies are supposed to do, they're looking for business, so a collection agency that does health care , you know, to them a bill is a bill. They don't care if it's for somebody's heart transplant or someone who was not very judicious and spent a lot more money on a Rolex watch that they could not (13) . It was a bill. But how come those bills so long. it has something to do with what doctors call “unbundling”. Think of it like buying a plane ticket, you pay for the ticket itself, but there are a lot of (14) charges within your final b ill: thirty dollars for a checked bag, fifty dollars for a few extra inches of leg room, and another three dollars for water, you get the (15) . People get irate about it and the airline ticket, but in healthcare we kind of come to accep t it, ‘ O h, that is just normal ’ , and part of the reason I wrote the book is to say that's not normal in other countries. ”