I kind of like the idea from presidential candidate Bernie Sanders. That would be to enroll each citizen, at birth, in a Medicare-type system that covers a portion of the cost of care, with a nominal premium charge. Supplemental coverage would be available from commercial insurance companies. The level of supplemental coverage would be according to the individuals' ability to pay and the desired levels of additional coverage desired. The Medicare system is already in place and is said to be the preferred method of payment by physicians, even though the reimbursements are restricted, because of the ease of filing claims and receiving payments. By using the existing bureaucracy as a model, I think that this could save a great deal of money for the government as well as for the individuals enrolled.