After steeping in Fischel's tract on the proximate cause of housing inflation (linked to from Klein)..

I gather that the main (meta-)issue, as you are kind of insinuating here, is that, for healthcare, there is a conflation of inflationary and deflationary processes..

(Sorry to go on what might seem to be a reductive tangent here, as I often do when pressed. I have further takes on Klein vs Shapiro for later)

My roughshod framing of (one) solution is that there has to be sustained deflationary pockets in a mildly inflationary phase

Probably mirrored by such proposals for housing as

https://devonzuegel.com/for-the-greater-good-the-game-theory...

There are lotsa issues in healthcare, not least that the medical association practices "birth control" for doctors. Plus the residency process to get board certified is absolutely grueling [1], I knew more than one doc who quit when they got their MD and got into startup land because it's an easier life!

It does seem that, against all odds, Obamacare really did "bend the cost curve" and slow down the growth in health care costs. After a rough patch decade or so when we didn't get new "blockbuster" drugs we are now getting drugs like Wegovy and Cobenfy which cost a lot but promise savings elsewhere.

[1] that said, a doctor really should know what to do when somebody with a rare condition that they'll only see once in their career and working a 996 schedule at a university medical center does give the experience for that.