Well, we already do that to some extent. I would be fine with a world where we have universal basic coverage and you can buy add on coverage if you wanted it.
Here's an example of what we have now. I've done this example before but I'll do it again for you because you're a cool dude.
Gall bladder removal. Hospital A charges 15,000. Hospital B charges 5,000. Hospital C (rural hospital) charges 12,000. Medicare pays the following: A = 5,200; B = 5,200; C = 4,800. BC/BS pays the following: A = 6,800; B = 6,800; C = 5,800. Private pay is billed charges unless the hospital elects to negotiate and some do, some don't. So some working class contract oil worker goes into the ER and ends up with his gall bladder being taken out he could have a bill for as much as 25,000 due to the ER and the uber diagnostics that they do on almost all ER visits now. The same hospital would get $5-7K if he was a Medicare patient and less if her were a Medicaid patient. This world is sub optimal. There is also some medical debt that you can't discharge. However, even though I'm a tooth challenged Okie, I'm not an expert on bankruptcy laws. Defer to your Trump cabal for that.
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