That's not quite true - part of the problem is that we don't know exactly how, in the American system, to reduce the healthcare costs effectively. But I feel l

That's not quite true - part of the problem is that we don't know exactly how, in the American system, to reduce the healthcare costs effectively. But I feel like I've read multiple times that the ACA funds pilot programs to try out many many different ways to change incentives to see if they help health care costs come down.