And that's assuming that said organization actually attempted to focus on the citizenry rather than its own perpetuation... (it just wouldn't be the same if I didn't throw in a pinch of cynicism)
The two aren't necessarily at odds, you know.
I really don't know how I'd fix American healthcare, but I can identify a few big, structural inefficiencies that need solving:
(1) Insurance companies spend enormous amounts of resources finding ways *not* to pay for healthcare, by carefully vetting applicants, wording contracts, and disputing them. If these resources were spent on treating people, they would buy a quite a lot of it.
(2) Medical professionals spend enormous amounts of money on malpractice insurance. If these resources were spent on treating people, they would buy a quite a lot of that too.
(3) Limited medical coverage, which a great many of you guys have, will generally pay for treatment of existing medical conditions, but not of preventative care. So, for example, if a diabetic's toe goes gangrenous, insurance will cover the cost of the amputation. However, most insurance *won't* cover the much, much lower cost of physical therapy that would have stopped the toe from going gangrenous in the first place. This is much more expensive *and* much harder on the patient; it's also a drag on the national economy as someone recovering from an amputation won't be able to work, whereas someone getting physical therapy once a week is. "An ounce of prevention is worth a pound of cure" and all that.
(4) Conversely, people with (virtually) unlimited medical coverage get prescribed a lot of completely unnecessary and often expensive tests and treatments. Under this system, the doctor has the incentive to prescribe everything possible, "just in case," since that's where the money comes from, and the patient has no incentive to refuse them, since he isn't paying for them. Again, massive resources get used with no tangible result.
IOW, your current system has perverse incentives, which lead to enormous waste of resources at all levels -- insurance companies working hard not to pay or not to insure those people who most need the insurance, patients ending up in expensive treatments because they put off cheap preventative care because their insurance wouldn't cover it, doctors prescribing expensive but unnecessary tests and treatments to patients who don't need them and don't pay for them, and *everybody* employing an army of lawyers to sort out the mess when something goes wrong, or to prevent it from going wrong (in the legal sense).
Now, I'm not saying that a universal health care system, or single-payer medical insurance with identical conditions for all, would be the *only* solution to these structural problems, but it is certainly *a* solution to them (other than the malpractice stuff, which would require changes to tort law). If you can figure out a way to solve these problems some other way, while keeping the things that do work well in your system, more power to you. I'll be watching with keen interest.