Calling that "low hanging fruit" isn't accurate, because entrenched and powerful interests benefit from it being kept that way. That extra $750 is valuable to the capitalist that gets it. The jobs to process those appeals and reviews are valuable to the employees who do them. Deleting all of this overnight will fuck these people over to varying degrees, and it could even have macroeconomic implications.

With that said, although it will not be easy, this shit needs to change. Health care in the United States is unacceptably expensive and of poorer quality than it needs to be.