The pay question is easy. Quit paying doctors and nurses and such the exorbitant salaries. Hire more lawyers to go to court over cost excesses.
The combined salaries of the nurses and doctors would never get even close to a trillion over the period they are talking about let a lone a year. Health spending is about 7 trillion or 1/3 the GDP of the US per year so
How much do YOU think a good seasoned nurse should be paid per hour, then? 15 dollars per hour minimum wage and capped?
And...ration care.
“Sorry, sir. We don’t pay for cancer treatments if you are over 63 (or, 53?).”
“No, Ma’sm. We can’t provide replacement joints for persons not engaged in work that requires the joint to be used in the course of that employment.”