I lived in the Milwaukee area for five years; it is quite different than Texas. There are lots of reasons, why our health care system costs so much and yet it is struggling to provide good patient care.
I have met with state representatives and sat on health care panels in the past attempting to address the issues with our health care system (which is not really a system but a patchwork of providers all providing various health care services).
On the bright side, our nation is extremely innovative at developing new therapies to treat diseases. But against that, we have a system were almost 30% of all care delivered is not needed and over 30% of our health care dollars go towards managing metabolic disease arising out of poor health practices.
Rather than create a "real health care system" that starts with education for children in schools on healthy living and focuses on keeping people healthy, we focus on treating diseases. Before I went into health care, I wrote a research paper to myself.
The essence of my research was health care would be a great career because people would rather be treated with a pill or "a knife", then live a healthy lifestyle because the latter was hard.