I guess healthcare is costly because hospitals have to treat everybody even the patient is able to pay or not .so they charges a premium fees so that they can remain profitable at end.
Only option I find to cut the cost is to stay healthy.
healthcare in usa sucks because you have to appoint millions of well educated people without national socialism or other forms of socialism in the countries ideology
to earn money based on sold work.
healtcare in usa will only reach german standards for the masses in quality and affordability if you basically become nazis or socialist to the bones,
or if you mass automatise it.
but given the decadent and profit oriented culture you have you arent really able, the us economy will continue to enrich the rich and the central bankers and those few that are on their payroll.