What I'm about to type is my own opinion, and not my employers......(I am supposed to type that on social media when talking HC). We know from decades of experimentation across the US, Europe, Australia, NZ, Japan, etc......the only thing that actually works is single payer. By works I mean, is cheaper, and produces better outcomes for the population. We know this with certainty. Israel's plan seems to work also, but it is an isolated case, and a very homogeneous and small society. Of course, Israel's plan is basically the ACA, except you are legally required to buy insurance, and for at least a 2 year commitment..... In lieu of a single payer, I still like my idea of giving every citizen 2K a year or so into a savings account from birth. That money can ONLY be used for HC or education. The exact dollar amount? I'd bet it could be closer to 10K a year if we did things right, maybe more. I'd supplement that with catastrophic insurance supplied by the government, so no one would go broke if they had cancer, or whatever. The next least worse plan is something like the ACA, but that's such a terrible compromise (as in, going halfway rarely works), that it only puts lipstick on the pig that is our system...