You aren't paying $40k for your kid to be born. You're paying: $1k for your kid to be born. $1k for each of Pedro 's(illegal immigrant) 7 kids to go to the ER for a slight cold, $1k for each of Mohammed 's (here on an h1b) 10 kids to be born, $1k to the fund that blackmailed Roberts to change his vote on the ACA, $1k to Sen. Warren for kickbacks, $1k to Rep. Pelosi for kickbacks, and the rest goes to fuel for the hospital CEO's private jet.