I've worked in healthcare for almost 30 years, and I wish I had something constructive to offer.
Obamacare seemed like something that was good in theory, but like so many things in medicine...a failure in practice.
I don't believe in socialized medicine as a total concept, but that doesn't mean that certian specific things can't be socialized.
Cuba, for example, has--with its poor infrastructure and poor people and Communist ideals--has completely eliminated neonatal transmission of syphillis. Maybe there were policies that are inconsistant with our democratic ideals, but eliminating neonatal syphillis is a hell of an accomplishment and, as a paramedic, I tend to think in practical terms over theory.
And yes, the World Health Organization has confirmed Cuba's claims.
Healthcare in the U.S. is so expensive because--in part--of lawyers. Malpractice is a big business, and malpractice insurance rates for physicians and institutions are astronomically high, and the expense is passed onto the consumer.
If anyone is a fan of the original Star Trek television series, I would like to point out the episode with the kids from Triacus who's parents were killed by a non-coporeal alien who materialized and had the kids chant and shake their fists to incite the crew to violence (episode 59, "And The Children Shall Lead").
This non-coporeal alien was played by an actor named Melvin Belli, who was also an accomplished attorney who tried to bring in the California Zodiac serial killer (offering to represent him in court for free) by communicating with him by phone.
Belli made a fortune (multi-multi-multi millionaire) pioneering medical malpractice lawsuits. He revolutionized this kind of law, and other lawyers (being greedy, bottom-feeding intestinal parasites) read his law books, took his courses, and--as you might predict--was part of creating the mess that medicine is in now.
I find myself in the peculiar position of admiring him and, at the same time, despising him as a piece of walking dogsh-t.