>elective medical procedures.

Are not covered by Insurance.

Where have you been seeing medical costs come down the last 20 or so years that makes you think the relentless constant increasing prices is going to change? My medical costs are nearly double what they were 10 years ago and I have no medical issues, I doubt I'm an outlier.

There is no competition in a captured market with artificial supply limitations. ie the number of medical professionals that are legally allowed to sell or use the service.