Decrease the soaring costs of health care

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Decrease the soaring costs of health care

In your opinion, who holds the responsibility to decrease the soaring costs of health care, and who has the authority to change the fundamental culture of both our healthcare system and our national code of ethics? Why? What is one initiative that your organization (or local healthcare provider) has implemented in recent years to help curb the rising costs of health care in your community? 
200 word minimum w/cited references