There is no middle ground, if you have government subsidized payments you'll always have inflated cost. It's one of the two options free market that depends on simple supply and demand laws to regulate cost or public funded healthcare with cost controls dictating the price of goods and services. So long as you have an endless flow of cash from the government without any cost controls the system will inflate prices sky high.

At this point I fear we've gone to far to go back to a private insurance system. With Medicare and Medicaid anf then the ACA covering so much of the population to pull the rug out from under them isn't realistic. So at this point you almost have to go all in and use the state to restrict cost which is essentially a single payer system.

I don't like single payer systems and believe they eventually lead to higher cost with worse healthcare but we've almost gone to far at this point.

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