Efficiency and innovation are lacking in healthcare due to special interest groups leveraging government regulations to prevent competition and maintain high prices. Existing regulations protect healthcare providers like hospitals and doctors from potential competition, limiting the implementation of cost-effective solutions like expert systems and telemedicine. Removing anti-competitive rules and promoting market competition can significantly reduce healthcare costs and improve access for all. Establishing a basic safety net for low-income individuals while focusing on cost reduction strategies, such as those outlined in a recent op-ed, can drive down healthcare expenses. Embracing policy ideas and advocating for change at the state level can lead to tangible improvements in the healthcare system, making it more affordable and efficient for everyone.