Good news is that the amount of health care spending is a choice. E.g. other western countries are running a health care cost to GDP ratio from 10%-13%, sometimes offering vastly superior and equitable outcomes than in the US.

The bad news is that this is a choice Congress and Senate are taking on behalf of the American people. And with the partisan divide and lack of agreement on fundamental values, things won't really change.

Add in a rapidly aging population, and being cognizant of the per capita health care spending steeply increasing at later stages of life, kicking the can down the road won't make the later adjustment any easier...