I don't disagree that people being lazy and apathetic is a huge issue... but so is disenfranchisement. Telling people who have less recourse in voting than others to "just suck it up" is about as unhelpful as it gets.
Just because you do a lot of it doesn't mean it was a proper education. In the US education is all about making you ready to be useful to "The Economy", not to train you to be more intelligent.
Not specifically because they were out of network, but I definitely will get billed separately by "contractors" when going to an urgent care clinic. They had a separate contractor for radiology examinations or some shit. And I've definitely gotten bills for nursing, or supplies, or any kind of random shit that wasn't technically covered by the original bill.
It's not a leave in conditioner.