Reply #2: I visualize a system the way social security was originally set up [View All]

[Warpy]

which is a pay as you go insurance system. When you get sick and go to a doctor, you don't have to stop at the reception desk on the way out. The doctor submits a claim to the national health insurance bureaucracy and they pay the bill. The same is true for hospitals and clincs.

The only thing that would change is the name on the check they get for their services. Oh, and likely a much reduced hassle of coping with Byzantine paperwork from competing plans.