How do we trim the high cost of medical care? Maybe one suggestion would be to look at Oregon's Medicaid program, which a few years ago tried a priorities list--with prenatal care at the top and tummy tucks at the bottom. No cosmetic or elective procedures until the essential stuff is taken care of.
For doctors that would mean that orthopods would take care of trauma patients ahead of repairing sports injuries that could get better with physical therapy only. Plastic surgeons, those burns and slow-healing wounds would come ahead of facelifts. And FP's would have a golden opportunity to spend more time with medically complex patients than with whiners and hypochondriacs.
The Oregon system foundered because it had too many loopholes, so this would have to be written carefully. But being able to get low-income patients on the OR schedule and diabetics their eye surgeries BEFORE getting disability benefits would have to have some sort of positive effect.