I'm not seeing that out of his comment. I see him saying we spend a ton of money, and there's the implication that we could be spending that money better/differ

I'm not seeing that out of his comment. I see him saying we spend a ton of money, and there's the implication that we could be spending that money better/differently. That doesn't imply a zero-sum game. It does imply that the money available for health care is not unlimited. That's pretty much a fact, though.