The only real solution to HC cost issues is high deductible catastrophic insurance coverage and we all pay cash for Dr. Visits routine test etc. (and that could be tax free cash from a HSA). People do not need insurance for HC only for Hospitalization or chronic care issues and if we paid cash at the Dr.s office and labs cost would stay low due to competition. Right now cost of treatment is almost a non consideration for most insured people. De-couple it from employers so we ca shop for it just like car insurance and we solve 90% of all the issues out there. It aint rocket science.