The core underlying issue is fee-for-service [1] which inherently incentivize overutilization of services.

We have been and should continue pushing for better alternatives. ACOs [2] and integrated managed care [3] are promising possibilities and there are assuredly others.

[1]: https://en.wikipedia.org/wiki/Fee-for-service

[2]: https://en.wikipedia.org/wiki/Accountable_care_organization

[3]: https://en.wikipedia.org/wiki/Kaiser_Permanente