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Policy is easy. Convincing people to accept the trade offs and delivering the change is hard.
Unless you want a dictatorship, those two things are one in the same. And equally difficult.
It's not just brains that will fix that problem. They also need to be in the right place at the right time.
With the proper regulations and policies, the US government can go a long way towards fixing its healthcare system. However resisting lobby groups simply have too much power at the minute for this to be feasible, at least in the short term.
They could certainly come up with a plan. But until you convince half the country that the other half’s competing vision of healthcare is the correct one, you’re not going to get very far.
This, plus you’d have to get everyone from all the different lobbies (insurance, pharma, medical devices, etc) on board in order to get any legislation passed, because they influence the politicians.