Probly the sane way to handle this is to first have Tort reform to protect well meaning providers. Second..Outlaw managed care completely. Third have a two tier system. Those who can afford it can buy real insurance and others get socialized medicine complete with rationing. Or charity care. I see no other viable alternatives. The corruption and fraud now is not ‘curable’.
The tier system works well in Switzerland, where everyone purchases his own private health insurance, while the employer pays All accidents, whether on the job or on the slopes. So no need for all the expense to prove the accident was work related, no work mans comp legal industry.
The tiers are ward, semi-private, and private. Most middle class people have semi-private. Gee, medical care is better if you pay more! Just like everything else.