The only way to cut costs is to eliminate overhead. Single payer does that perfectly in many other countries. The fear the GOP has sold to keep profits in the hands of insurance should be considered a mortal sin against humanity. Our country has the resources to make everyone healthy, it is sickening that we are so amoral we put profits first. The USA has a moral problem with healthcare not just a fiscal one. Nobody should ever go bankrupt for getting sick, that is amoral.