If we look at health care costs with rigorous clarity, no confirmation bias, it comes down to this:
Us regular folk can get financially crushed by our government, or we can get financially crushed by insurance companies run by industrialists. Each system has a rather terrifying list of pros & cons.
The inescapable fact is that new medical technologies will continue to be introduced and old ones improved; each and every one of them adding costs into the system.
Taken from the viewpoint of each individual patient, this is topping news. In my own case for instance, my life has been saved twice & my vision saved once by modern medicine--just so far!
And yet from the standpoint of the entire system, the more we can do medically for people, the greater the percent of GDP will be healthcare. The math is inescapable.
Since, though, a huge percentage of healthcare in America consists of treatment of diseases that are secondary to obesity, poor diet, sedentary lifestyles, smoking and drug & alcohol abuse, it's blatantly obvious that the best way to reduce a society's medical cost burden is to manage a profound reduction in these self-destructive behaviors, across all of society. Such progress would amount to SEVERAL ORDERS OF MAGNITUDE savings over any other factor, even including logic and efficiency in billing.
Human nature being what it is--good luck with that.
Two views on nationalized healthcare by British citizens at the dawn of the National Health Service in 1948, as relayed by David Kynaston in Austerity Britain.
Vogue magazine's editor at the time, Audrey Withers:
"It has taken a long time to scotch the Class fallacy: to admit that rich and poor are 'subject to the same diseases, healed by the same means' - and to ensure that lack of money shall not stand in the way of that healing."
Vere Hodgson, voluntary welfare worker, and presumably a great deal less well-off than Ms. Withers:
"It seems to be all right if we can afford it. It seems to me just Bankrupt Hospitals being taken over by a Bankrupt Country. You pass on the baby."