There is no reforming the present US medical system - particularly medicare and medicaid. Too many people are totally dependent on it, and the bureaucratic and financial vested interests are absolutely huge.
The only way to help Americans and allow choice is to allow some kind of laissez-faire system to develop around it - cash-only payments, medical tax-free and reduced regulation zones, reduced tort liability. I don’t have all the answers, but I do know our present system will bankrupt us and will eventually turn into a 100% state run system.
How about allowing more people into medical school? The numbers are artificially restricted by the MD cartel
You are absolutely correct! I've worked as an insurance consultant for several large hospitals, attempting to lower their costs. The attorneys pile on and bleed them. The insurance brokers, insurance trusts and actuaries take shark bites. The only thing they can buy cheap is property insurance. Even the hospital executives are often disinclined to change methods or hire different services because of the "good ol' boy network" or the excuse, "we've always done it this way".