@JPB,
Me too! I've always said that social security and Medicare needs to be addressed; we've known about the funding problems for these programs for several decades. We need to increase the age for benefits, because people are living longer. That's been on the plate for decades. Medicare's cost is not sustainable, because government added beneficiaries who never paid into the program. There are many ways to reduce the cost including adding fees for services which will reduce waste.
There are too much testing going on that's not needed; that's been known for many years; another waste that will not impact patient's health negatively. Reduce the use of emergency rooms for non-emergency care.
Open more clinics to handle these patients.
It was found some years ago that the supplies that hospitals use are wasteful and duplicated. There are hospitals - someplace back east (might be New York) that reduced spending on supplies by reducing the number of glove types they used to order.
I order my meds through the internet; it saves my time, and the pharmacy becomes more efficient - which reduces their cost. We both win.
It can be done.