The core philosophical truth of healthcare is you can never have a system that prioritizes care above all. Such is economically intractable. Imagine millions of immortals with artificial heart/lungs (called ECMO, exists for a long time), artificial kidneys (dailysis), etc, costing LOTS Of econonmic resources per day, living for years. The truth of this transcends government. A communist or socialist government still must confront resource allocation.

What we need is something that looks at that efficiency-care-quality tradeoff curve and finds something like the markowitz efficient frontier. Now.. that hospitals operate at such efficiency ought to be a consequent of capitalistic competition even in a for-profit context. The american health system is so crooked and bureaucratic and overpriced, perhaps the most we can do is demand our hospitals be non-profits. Many "non-profit" hospitals seemingly have megabooms in growth, which makes me wonder where the money is coming from to fund the growth, if not profit.