I might not know too much about the topic, but imo American healthcare system has a lot of learn from the Indian healthcare system. My guess is that America should simply copy-paste India's model and it should be good to go.

For the resources that it spends on healthcare, the Indian healthcare systems offers perhaps the most efficient system in the world. There is insurance if you want, but you can choose your health providers in the free market too.

Hospitals, Doctors, Medicines, Tests, Procedures, Post-op care/services - everything can be comparison shopped. And if you have more time than money, you can show up at any one of the almost-free govt. funded hospitals to get treated by who is often a very good doctor.

The inefficiency of the American system might as well be a result of extensive litigation around healthcare, but I suspect that its simply an oligopoly defended by pocketed politicians.

I would guess that for any hospital expense above a few thousand dollars, and for someone who cant afford, it might make a lot of sense to just hop on a plane to India.