To do that we would need to eliminate people's ability to sue to malpractice, just as a first step. If a patient reacts poorly to anesthesia, that would have to be a separate charge. How severe is the appendicitis, can the surgery be done laparoscopically? That laparoscopic surgical equipment costs money, so maybe there will be the "discount" 5 inch incision surgery, with the associated longer recovery time and the premium small incision surgery. Do you want the good, expensive drugs, or the pain meds that only mostly work?