 He says further that in those days, doctors and hospitals provided cut-rate or free care to people who did not have health insurance – "every physician understood that he or she had a responsibility toward the less fortunate, and free medical care for the poor was the norm" – and that this was possible because healthcare costs were much lower.At a church charity hospital where he worked in his early years of practice, "nobody was turned away" for lack of ability to pay.Paul claims that government meddling in health care delivery is to blame for healthcare costs having skyrocketed over the past few decades.