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It's designed well, people just refuse to use it correctly and we can't force them. No amount of civil engineering is going to make up for disaffected young males who insist on driving around at 40 miles over the speed limit.
Society has mostly decided we can't force patients to use the systems correctly or take care of themselves. And I'm okay with that. Although this was a big part of what the ACA was about - health insurance only really works if everyone has it so you needed to force people to get.
I'm not saying all the regulations are good, many are emphatically not - physician salaries have been dropping for forever, so what's causing increased costs? Well a bunch of it is admin and other horseshit like that.
Think about how complex some of this system is, a huge percentage of costs, maybe even worth as much of 50% of doctors salaries, is healthcare workers and systems protecting themselves from getting sued. You want to drop healthcare costs and make access easier? Great make it so we can't get sued. I promise you that you will mostly get better quality care faster and for cheaper. But no, people don't want that, they want to be able to sue.
So healthcare is more expensive.
So much of what goes on is like that.
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