Hospitals and their staff aren't the specific group that the system is designed to transfer wealth into. The health insurance industry is. https://naic.org/documents/topic_insurance_industry_snapshot...
If the healthcare system is designed to transfer as much wealth as possible to the health insurance industry, it's doing a really bad job at it.
[1] https://naic.org/documents/topic_insurance_industry_snapshot... [2] https://www.cms.gov/Research-Statistics-Data-and-Systems/Sta...
I'd take a close look at every entity that sells something to a hospital. This is a problem I've seen in publicly-funded healthcare. Private companies will absolutely fleece the government on any kind of good or service that's being sold to healthcare. Drugs, scalpels, tissue paper, everything.