Drastic changes are needed because many of our problems have gone unaddressed for decades. 1. College costs grew so rapidly in part because many states stopped funding them. Simple market forces also played a role. https://www.theatlantic.com/education/archive/2018/09/why-is-college-so-expensive-in-america/569884/ "Are they giving the right education" seems like it's probably code for "People shouldn't get liberal arts degrees." 2. Drug costs are high because Americans valued Big Pharma's profits over accessibility for all. 3. We would turn over the task to government because large systemic problems can only be functionally addressed by government. It's silly to blame government for "screwing up a good system in the first place." You're like a Reagan bumper sticker that gained sentience. There is not a person alive that can work with Mitch McConnell's Senate or Kevin McCarthy's House as a member of the Democratic Party. Continuing to "both sides" this problem will prevent us from ever finding a solution. And it's weird to point to Clinton's second term as when he really worked with Congress, since that was when the Republican Congress was trying to eject him from office for getting a blowjob from an intern. In fact, one can point to his second term as to when partisanship really turned up a notch.