IHS is bad, but it's not just that though. As a way of controlling costs, Medicare is a dismal failure. This may be similar wrt IHS, but basically government

IHS is bad, but it's not just that though. As a way of controlling costs, Medicare is a dismal failure. This may be similar wrt IHS, but basically government health care means, in the US, underfunded doctors, and money channelled to large corporate interests, like big pharma. If we just look at taxpayer dollars spent in the US on health care, we still outspend the rest of the world. If our government could control costs, they would have. States are powerless because a very large minority of expenditures are regulated primarily by the feds, and they actively avoid cost control outside IHS. We have a system which is so structurally broken I just don't know what you can do without starting with huge structural changes, which would be scary to those on things like Medicare.