200 words with no plagiarism

Consider the involvement of insurance companies, the big business of healthcare, and cost-cutting activities. Explain what you believe is meant by a cardiac patient who, upon meeting his surgeon for the first time prior to surgery, says to the surgeon, “Hello, sir. I’m Mr. John Smith, husband of Mary Smith and father of Jeanette Smith. I’m a carpenter who has built close to 80 new homes over the last 20 years with these two hands. I’m not the heart attack in Room 403.” and why.