It seems to me that our US HC system is operating in a manner that optimizes the wrong thing. It currently maximizes jobs and an odd form of wealth redistributi

It seems to me that our US HC system is operating in a manner that optimizes the wrong thing. It currently maximizes jobs and an odd form of wealth redistribution. It should be minimizing costs subject to "good" HC (or "adequate"?) for the target recipients (all citizens?). Let's name our HC goals (the objective function) and then tackle the strategies. The methods are wrong too, and spin off unfair side effects. For example, corporations by the (insurance) product, not consumers. This gives companies leverage in employment activities. Edit-> Some form of tort reform (e.g., limitations of liabilities) would help as well. I don't have a current number, but layers of malpractice insurance drive substantial costs.