Your first point is sort of debatable. The U.S. is diverse and there's a wide variety of viewpoints. It's hard to fight against political inertia at the Federal level. Policies in motion tend to stay in motion.

There is demand for reform but there's almost an equal demand for status quo.

Cutting financial fees is one thing. Healthcare is a capital AND labor intensive industry. Cutting fees carelessly could cause massive layoffs, disrupted services and a lot of trickle down effects. The system has evolved to this point and while it's certainly due for disruption, it's not as simple as capping prices.