The only way to lower heath care costs and improve efficiency is to reduce government subsidies and go back to fully private health care insurance. This video explains the source of our problems and outlines the solution.
http://www.youtube.com/watch?feature=player_embedded&v=DLybfQyrkdc
The main problem with health care costs is the third-party payer system. If someone else is funding people's health care then they won't pay attention to costs and they will abuse the system by going to the doctor, buying drugs, etc. unnecessarily. That's what drives up prices and insurance premiums. We all end up paying for these abuses--the money doesn't come from "government." Remember government has no resources whatsoever except what it takes from taxes.
Have a nice day.
DWD
