This guy’s proposed solution is pretty close to mine. Cat insurance and MSAs. I would have different aspects around those two components - but IMO the only way to get control of the situation is to take that approach. But that cuts government AND the insurance companies out of controlling the system.
Catastophic coverage and MSAs. I’m with you.
Of course, while that’s fine for working stiffs like me, what to do for those who can’t even feed themselves, no less buy insurance and save against illness?