“Create a Public Health Service under the Surgeon General, including Medicare, VA and CDC. Fee for service has never worked because the fees always increase with demand, even when the economies of scale decrease the costs. The only way for the government to control medical expenses is to have direct control over salaries, facilities, equipment, and drugs. Require all medical students who receive government scholarships to perform their internships and residencies in government facilities and to commit to minimum terms of service after graduation, similar to ROTC.”