The bottom line is healthcare will never be affordable when your doctors bill hundreds of thousands per day. In the short term, bring in Cuban doctors paid US$ 1000 per month on contract and set up state owned hospitals. Then give bursaries to American kids American kids who want to study medicine as longs as they give government twelve years postgraduate to work in public hospitals. Pay your hospital staff US$ 25,000 per month plus an allowance to buy a US$ 250,000 house, pay their medical and school fees. r
In short allow Cuban ten years to practice on a contract that requires them to return upon expiry; make it affordable to become a doctor by paying study costs to flood the market with doctors so there are many doctors to go to; put tariffs that doctors may not exceed for consultations.
That will solve your affordable healt care problems wthin twenty years.