The big problem with current health care costs boils down to 2 laws. One that tells every doctor that they must treat everyone who comes to them regardless of their ability to pay, the other that tells employers they must buy their employees' insurance. The way to fix the problem is to repeal those laws and replace them with more market friendly laws. The first tells doctors that the only people they must treat are people with insurance. The second repeals the law that says employers must provide it for their employees, and the employers must pass all the money spent on health care to their employees, who can then buy their own coverage.
Therein lies the dilemma. Being a realist, you are going to get absolute backlash from American's the second the media picks up on a story of an individual who dies on a hospital floor because he doesn't have enough money. It literally is an impossibility in our current economic climate. Politicians would never allow it to happen under their watch except for the crazy Libertarian's who don't really care for anyone but themselves. So knowing that, now what is the solution?