Look at higher education.

To get the best quality at the lowest cost with the widest choices requires competition, the freedom to pursue new ideas and alternatives, and the freedom to make money at it. This works for everything else, including most of life's essentials.

For the record, well over half of America's high medical spending can be traced to technology.

I wonder why nobody has ever asked what America spends relative to other countries on many other things.

The idea that we spend more and get crappy care is based on a tiny handful of studies that measure almost everything but the actual quality of the health care, and ignore almost every parameter except raw life expectancy.