Trump hit the nail squarely on the head. Above all other factors, the reason we have runaway health costs is that the fundamental payment mechanism for health care in the US is ass-backwards.
In the simplest term, the basic efficiency comes from removing the middlemen. That is why almost all the proposals on improving the US healthcare never talk about removing the medical insurance companies or the medical service delivery companies, etc. Instead, the vast majority of such proposals ask for more dominant positions for various kinds of middlemen in the name of equity, or the protection of the poor people, etc. The government can limit such free money to be used on qualified medical products, not soda or daily consumables. A simple case would be a universal healthy saving account operated similar to the IRA. People can surely buy insurance on their own initiative using their own money if they think they need the sharing of risks.
In the simplest term, the basic efficiency comes from removing the middlemen. That is why almost all the proposals on improving the US healthcare never talk about removing the medical insurance companies or the medical service delivery companies, etc. Instead, the vast majority of such proposals ask for more dominant positions for various kinds of middlemen in the name of equity, or the protection of the poor people, etc. The government can limit such free money to be used on qualified medical products, not soda or daily consumables. A simple case would be a universal healthy saving account operated similar to the IRA. People can surely buy insurance on their own initiative using their own money if they think they need the sharing of risks.