I can't keep quiet about it.  All over this country we are talking about the outrageous cost of medical care, trying to tease out the reasons medical care seems to be more expensive in the U.S. than elsewhere in the world.  I am sure there is not "one answer" or "one reason" for these escalating costs, but rather many reasons across all fields of medicine.  So let me confine my comments to my field: eating disorders.

We had a patient fairly recently who was transferred to us from an…