Universal healthcare is an ideal to strive for but the ACA is not the solution. The premise of its support was that demand for services would increase due to more people being insured and that prices would simultaneously fall. The violates one of the first laws of economics as it is impossible for that to happen when supply remains constant. While the consumer may not feel the increase in prices due to government subsidies, the overall cost to the system remains the same. As with most things that are subsidized the overall price will rise at a rate above what would be normally expected.
As much as some try to dissuade, the free market is the most efficient way to allocate resources. Any healthcare legislation should be free from as much government intervention as possible with the exception of efforts to increase the supply of medical goods and services.
Repeal most of the provisions of the ACA while keeping some of the more popular provisions. These include regulations that allow a child to remain on their parents coverage until they are 26, requiring coverage for preexisting conditions, and the idea of an exchange.
One National Exchange
Create one national exchange to replace state run exchanges and allow insurance companies to operate across state borders. This will give consumers more choice and drive the price of comparable plans down. This also prevents a handful of companies from dominating local markets through preferential treatment of state regulators.
Allow individuals to deduct the cost of medical care from their taxes in the same way that businesses do. This includes both the cost of health insurance and any out of pocket expenses encountered in the procurement of healthcare.
Allow for tax-free accumulating health savings accounts. This gives individuals great choice in deciding how to utilize their employer sponsored health programs. Allowing the account to grow over time enables young and healthy individuals to save for the future.
Increase Price Transparency
Each provider will be required to publish the price of all offered medical procedures as well as their success rates. This promotes competition of both price and efficacy. Consumers would be able to work with their insurers to select the most cost-effective providers with the greatest levels of performance.
Fastrack New Treatments
Reduce the regulatory guidelines that make bringing new treatments a time consuming and expensive process. Allow clinical data of devices or medications available in other countries to be used for US approval. Balance consumer protection with victim litigation to promote the ethical use of experimental treatments.
Invest in supply-side efforts to reduce the cost of medicine by providing federal funding to build more facilities and expand the educational opportunities for the healthcare profession. This is an investment that will take several years to realize returns but is ultimately the best strategy for reducing costs.
Limit settlements for medical malpractice suits to reduce insurance costs paid by medical providers. Consumeers will be protected by strict oversight to identify providers with a history of malpractice suites and revoke their licenses. In cases of egregious infractions providers will lose their license immediately.