That's the way articles are written since it's not a one size fits all solution and there are still for-profit health systems that really don't care if you can't pay or not.
What do you suggest we do to fix it? I assume your answer will be single-payer, which I can tell you right now would be tragically bad. Medicaid and Medicare are already horrible, as is insurance acquired under the ACA. The government can't manage anything, so why would I want them to manage my healthcare? Not to mention the BS Medicaid and Medicare makes you jump through would make getting simple procedures done a massive headache. It's already made things awful, especially with Meaningful Use, which is hot garbage.
If you want lower healthcare costs, there are a couple of ways we could accomplish it. First vastly limiting malpractice lawsuits would go a long way. There are so many frivolous malpractice lawsuits that the cost of care is driven up across the board. Most hospitals just settle out of court because it's a pain to take those cases to trial. Yes, there are still malpractice lawsuits that just and warranted, but many aren't. Malpractice insurance for a health system is insanely expensive. For one surgeon the cost can be $50,000 a year, for a family doctor it's around $10,000, and for some specialties, it can be up near $100,000. At the hospital I work at, we have right around 1,000 physicians covering 200 specialties.
We also need way more competition in healthcare. The way it's regulated, all beds in a hospital are licensed and there can only be so many beds in a given area, which is based on the population. This limits from XYZ organization building a competing hospital in an area. Most major cities have 2 or 3 major health systems that control everything. That's not a ton of competition. Same goes for insurance, in the US you don't have a ton of choice for health insurance and you're most likely to end up with some form of Blue Cross Blue Sheild. It's also difficult to cross-shop insurance providers.
Finally, people could just take better care of themselves. The leading cause of death in the US is heart disease and much of that can be contributed to poor lifestyles. If a population takes better care of itself, the need for healthcare will be reduced as will expensive treatments.
