No need for bribes and connections, such as are needed in Canada (they did a movie about that, <a href="http://www.imdb.com/title/tt0338135/reviews)">http://www.imdb.com/title/tt0338135/reviews)</a> and Japan, where costs are controlled by access (http://en.wikipedia.org/wiki/Health_care_system_in_Japan), and where, I have been told by several Japanese (I visit Japan once a year) that they have to bring money as ???gifts??? to their doctors and hospitals,