I was told that Indiana actually had a decent state run program once but people refused to participate at levels to keep it viable.
That is the problem with ponzi scheme's you run out of other peoples money.
The better bet is to soley rely on that one thing that makes the world turn money.
When it comes to medical care cash is king.
I have done so much research on this from financial analysts and others to confirm that the best laid plans for a medical system is cash.
There are some reforms that have to happen.
1. The charge masters at hospitals needs to change and reflect actual normal cost + profit formula's.
2. The drug company middlemen need to go away those people drive up the cost of drugs so badly it isn't funny.
3. we need to redo our patent laws on drugs etc ...
there are a few system changes but a national HSA system in which insurance only covers things like surgies, cancers etc ... would lower costs greatly.
you pay for your day to day care with your HSA.
Cash prices must be published and clear in full view of what actually was done.
That is like when my wife went to have our last baby the doctor came in to do the epidural. He opened an entire kit and i had to pay for the entire
kit not the 3 items he used out of the kit.
We got to talking and he told me that he had to help a lady with a bad broken ankle. it took 5 screws.
the hospital pays like 3 bucks for the screws they charged her almost 200-300 per screw.
on top of everything else. that is where the real reform needs to occur.
a full cash based system would help eliminate that.