What is there to indicate "we" or anyone is serious about reducing healthcare costs? The only thing that will reduce costs is competitive pressure. The last major healthcare reform in the US was incredibly anti-competitive and designed with a goal of significantly raising costs but transferring those costs to the government. How could healthcare costs ever go down when the ONLY way for insurers to increase profits is for costs to go up as their profit is capped at a percentage of expenses.

>...The only thing that will reduce costs is competitive pressure.

Unfortunately, just yesterday there were a surprising amount of people who seemed to argue that increased competition would at best have no effect, and at worst, would actually increase prices:

https://news.ycombinator.com/item?id=45372442

> What is there to indicate "we" or anyone is serious about reducing healthcare costs?

I agree, we clearly aren’t. That’s my point.