I think it's gonna take a fundamental change to the way americans approach health care rather than a quick fix. We're improving the ability of medicine to treat illness and improve quality of life, but all of these improvements come with a cost that may be prohibitive, and to a certain extent we may need to scale back on QoL improvements for the elderly. The real burden, however, is the amount we spend on preventable diseases, and until America starts to treat disease treatment via prevention (i.e. diet, lifestyle), then the cost of health care is always going to be a big sagging ball and chain around our necks.