I really think the solution is simple.
Pass a little tort reform, I don't trust docs or hospitals to do the right thing, so there can't be anything as full tort. There is always a grey area, but the danger is still there. Actually, I think there should be a non-binding arbitration process, followed by a full tort, option.
Make it illegal for a hospital to charge anyone for services they did not receive. Give hospitals the right of refusal, without consequences. Sorry, I don't care.
Set up 24hr community health care. Yha, I said community health care. But, you have to be registered, and that means the real hospitals know you can't pay, so will just ship your azz over there.
If you didn't earn it, you don't deserve the "best", you deserve what's left over. But, people should be able to get some health care that doesn't require a emergency room visit. Let them run that, like they run the VA. Pretty soon the truth will be told, and it won't hurt the "taxpayer".
And if your health issue is due to your drug habit, or your in ability to stop eating, have the ambulance dump you in an alley. Again, I don't care.
I do agree with the liberals on one thing, Insurance companies suck. But, I disagree why they suck. I think it's because hospitals charge everyone for service they gave to those unable to pay. That's not right. It's not right to bankrupt some garbage man, because some drug addict can't pay.