I am no rocket scientist, but why not just look into what is broken in the system, and fix THAT?
Is that so difficult?
In a word, yes. There are lots of broken things. People don't take responsibility for taking care of themselves. They smoke, do drugs, drink excessively, eat too much and all the wrong foods, don't exercise, don't get enough sleep, don't get preventative care that might prevent a disease or detect it early enough to cure it. They expect that they can have all the tests and expensive medicines they want if they have insurance. They ask for MRIs the day after moving from one house to another and carrying dozens of heavy boxes, because they have back pain!
If something does go wrong, they sue.
TWENTY FIVE percent of health care spending, according to a 2008 survey of physicians, is done because if the patient ends up suing, the doctor wants to be sure s/he can show s/he did EVERYTHING possible.
People ask doctors to keep their elderly loved one alive even if their loved one has such bad dementia they can no longer even remember how to swallow and have to have a feeding tube. Medicare spends a huge proportion of all its spending on the last year of the recipient's life.
People don't want to save money in case they get sick AND they don't want to pay for insurance in case they get sick AND they don't want to pay more in taxes to pay for their care if they get sick.
There is NO WAY to control health care costs until we have a conversation, as a society, about how much is enough. Should we put a 90 year old who is GOING TO DIE ANYWAY REAL SOON NOW in the ICU, at a cost of 10-30,000 a day, to keep them alive for 1 more week? Should we do MRIs on everyone who has back pain for more than 24 hours? Should we prescribe specialized cancer drugs that cost $10,000 per dose that will only extend the patient's life for a few months, less than a year?
I don't have all the answers, and I do think looking at other countries' systems is a great idea. Switzerland seems to have something working pretty well, so do the Dutch, and the Germans. Maybe we could take some ideas from them. But those ideas will NOT control the relentless increase in cost unless we talk about the issue of "How much is enough?" I am not advocating for "death panels". And I fully realize that the US system rations health care -- if you have private insurance you can get ALMOST anything. If you have Medicare, likewise. If you don't have insurance, you don't get much of anything, not even the most basic stuff.
The other thing we need to realize is that most preventative care, other than pediatric preventative care, actually RAISES costs by keeping people alive longer. A group of Dutch medical statisticians calculated that the most economical way to manage things is to provide well-child care and prenatal care, and NOTHING ELSE, so that people would die sooner. The reason their analysis came out that way is that IF a person lives long enough (they might have to live to over 100 years) they WILL develop dementia & need very expensive custodial care. So from the cost point of view, it's better not to have them live that long, but die of a heart attack, or a stroke, or a cancer, before then.
Wow, I just went on a 30 minute rant too!