Hete is a link to a very informative and unbiased look at healthcare in the United States. http://www.marketwatch.com/story/why-your-medical-bills-will-just-keep-growing-2014-11-17?page=2
The number one problem with our system is it is not evidence based, it is profit based. Until that changes our system wont.
Are you talking outcome based reward systems? There has to be a profit motive in Healthcare. I am just not sure it should be the profits of insurance companies that drive healthcare. No problem though with doctors,hospitals, and drug companies making a profit.
Not sure what you mean by "medical science". My definition of science is more about expanding the knowledge base rather than applying existing knowledge to achieve best possible patient care.
Not sure what is implied by evidence based medicine. Please expound on requirements of an evidence based system. I am familiar with results based medicine.