The healthcare industry is one of the largest industries in the US employing millions of workers. Due to the fragmented nature of the industry and regulatory burden, employment in the industry is artificially high. It is not uncommon for a hospital system to have hundreds of workers just in the billing department whose only job is to bill insurance companies, patients, governments, etc. Similarly on the insurance company side hundreds or even thousands of people are employed just to deal with all the bills from the hospital and also send out more bills to patients and so forth.
The US spending on healthcare on per capita basis is the highest in the world. The following infographic shows some additional insights on this massive industry:
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Source: The State of Healthcare Industry – Statistics for 2021, PolicyAdvice