This is a good article by Robert J. Sameulson, called “Health-care nation”, on the current situation with health care, and what’s being proposed for it. I think he is half right about the solution, lowering health care spending. I think the more important part of the solution is lowering costs. There are a variety of things that could be done to help with that, and so far I haven’t seen any of them proposed. One of them is tort reform.
The striking thing is that the federal government has not exercised its constitutional interstate commerce regulatory powers in this issue. Instead it has allowed states to set up “fiefdoms” of health care, both in insurance and in medical facilities, which naturally drive up costs. So far as I know the federal government has not allowed these kinds of anti-competitive practices for any other product or service. It should break down the barriers the states have erected, which it has the legal authority to do.