You're right of course that inflated drug prices and lawsuits are significant costs, but, for instance, the NHS analyses all proposed pharmaceuticals for cost-e

You're right of course that inflated drug prices and lawsuits are significant costs, but, for instance, the NHS analyses all proposed pharmaceuticals for cost-effectiveness, and barters with the manufacturers at a national level, and medical litigation in the UK is almost nil. The system is more efficient, but there is a base-line which is impermeable. The only way to go below that is to train many more doctors, and start paying them something closer to an average wage, but, firstly, they'd just move abroad, and secondly, you would not be able to persuade the candidates to train for ten years if they didn't earn a decent professional wage. The only other option is to move some of the burden onto technology.