Not sure how we can attack the problem
The real problem is we are not focusing on costs, only who pays for it, and there are a bunch of things we can do to lower cost.
The first of course is liability. Depending on what field of medical you get into, doctors are paying up to six figures for Malpractice insurance. What would help is if our country had a loser pays all law. You can sue anybody you like, but if you lose the case, you are responsible for all the costs associated with the person you tried to sue. It would not only greatly help in our medical care, but all matters outside of medical. It would eliminate the ambulance chasers that plague our country.
It would also cut down on defensive medicine. Years ago, you mostly seen your family doctor. The only time you'd see a specialist is if your doctor couldn't figure out what was wrong with you. Today, your family doctor is nothing more than a referral service. If you are having a problem with your ear, he has you see an ear, nose and throat specialist. If you having a problem with your eyes, you go to the optometrist. One specialist could send you to another specialist. When you finally get to the person who's going to work on you, they run you through every test possible to cover their ass in case something goes wrong and you try to sue them. Defensive medicine is a huge drawn on our healthcare costs because you need to see four or more people instead of one like years ago.
Government healthcare. Medicare and Medicaid often only pay 2/3 of the bill for their patients. Doctors and hospitals must up their prices to recoup those losses, which of course is passed on to our insurance companies who then have to increase their premiums. Instead of Medicare for all, how about Medicare and Medicaid start paying the entire bill so those costs don't get transferred to the private market?
Health savings accounts. All this paperwork passing around costs insurance companies and doctors office staff a lot of money. Any article I read on the subject, the insurance companies site all the paperwork as costly enough to have to increase rates. With a medical savings account, you get a deduction out of your paycheck every pay period like SS or Medicare. When you go to see your doctor, it comes out of there first. That would help eliminate all this paperwork pushing for a stupid office visit. In a lot of cases, people who pay cash get a discount on the price of seeing a doctor.
These are just a few of my ideas, but there are more. The bottom line is let's bring down medical care costs first, and THEN figure out how to pay for it.