"the medical situation in the US is badly broken"

Those in power would disagree. If the purpose is to achieve a local maxima of profit they're doing pretty well. Privatize the gains, socialize the losses.

If the purpose is to provide medical care, well, yeah, its a pretty epic fail. But that's not the purpose of the system.

The system has to be bled completely dry before it can be redesigned and rebooted. Too many people are still paying in. That has to stop, before things can be improved.