It isn’t as hopeless as it looks. Places like Oregon have been long experimenting with things like coordinated care organizations to better manage healthcare. Also health system like Kaiser Permanente compare more favorably to national healthcare systems than you might think.
Kaiser sucks unless you're healthy.
Kaiser is by far my best experience with healthcare in the US that wasn’t just a government run plan.
I’ve enjoyed it
Eh, how difficult can it really be? Fixing the whole thing can't take longer than 2 weeks, right?