Government has been involved since employee benefits were exempted from WW II wage and price controls, and since the Hill-Burton Act in 1948. Medicare in 1965 was always a fantasy - it’s taken this long to fail, and both parties are equally guilty.
It’s time to bury what we have - it is not surviveable.
Direct Primary Care doctors who do not accept medical insurance have shown the way. They can get diagnostic tests done for pennies compared to getting the same tests through the same labs through a hospital. And they can actually look out for the best interests of their patients instead of being forced to follow protocol$.