expressed here for the first time:
If the cost of A is out of control, money is going to some group B. Any effective control on the cost of A reduces at least the potential income of B.
There is no effective solution Y that can reduce the cost of A without a reasonable objection from B.
However, I suspect that in this case B is the insurance, um, I believe the current PC term is "industry", although I'm pretty sure "scam" better reflects the value-add, more than doctors. I'm pretty sure that he eventual solution to the health care crisis will cause the insurance companies considerable pain. Marie Antoinette's neck type pain. (Mike's Political Law: there are ALWAYS checks and balances. Systems that plan for them have prettier outcomes. Ms. Antoinette discovered that the French Aristocracy was subject to a system of checks and balances - a formal system might have been more to her liking.)