[CSactuary]

Fixing the US healthcare system really is not that hard. Just low incentive for the upper crust with plans that subsidize 90%+ of their healthcare through their companies/employers.

How to fix it: 1. Single payer - hard to maintain equality without it, insurers are not incentivized to lower healthcare trend due to max MLR rules 2. High OOP plans for all - force consumerism, sliding scale of ded/oopm based on income so poor are inherently subsidized more than rich 3. Easier path to becoming MD - more docs, more competition 4. Higher standards for maintaining license to practice medicine - more pressure to provide high quality care 5. Transparent prices - ability to shop for healthcare like any other good, prices will naturally hit an equilibrium due to consumerism and increased competition 6. Add a steerage layer to the system for all - call med-help line or go to web/app for care - type in symptoms, it gives you options with distance/prices etc to allow people to make more informed/economical decisions 7. Better Interoperability in EHRs - easily share medical records with a new provider, reduce duplicative care and waste

Just these items would help bring trend back in line with CPI. I like this solution because everyone gives a little - providers and consumers and the insurers and brokers give a lot (but eliminating their costs alone would be a boon). The biggest risk would be the ability of a public entity to implement and enforce such a system and to keep incentives high for providers and researchers