> Single payer would work, free(er) market would work, but we're currently reaping the fruits of generations of entrenched political class for sale.

Single payer or similar universal coverage systems would be the safe (dare I say conservative?) bet, since we have tons of examples of systems like that working well in countries similar to ours while saving lots of money per-capita over our system. Looks like an easy win.

Messing with our regulations and hoping the market fixes things might work, but it's more of a gamble.