I am a free market Republican but I will admit there is a problem with health care in the USA. The USA spends, as a percent of GDP, twice as much on health care as the next most expensive country, twice.
The first step is to admit there is a problem. It is real.
Much of that is practicing defensive medicine to keep the lawyers from suing their pants off. Have you bought a ladder recently? Ridiculously expensive - half the price goes into a legal fund.