Having looked for personal health care recently, I'd like to float an idea out to everyone to see what you think. One of the things that the insurance companies offer are a "community" health cooperative. Basically, what they do is they offer a plan in a particular city or group of cities at a particular rate. They try to get as many people in that area onto the plan to help spread the cost out. The idea being that the more people you have, the more bargaining power that you have to get better rates on everything from hospital care to prescription medication. I think that this would be a better way for the government to go. Use the collective bargaining power in each state to lessen the cost to Americans. They should be able to offer major medical plans for about the price of what companies charge their employees for medical insurance. To make things more competitive for the insurance companies, you make it a 4 or 5 year deal with a set rate across that time span. This will keep competition up amongst the insurance companies to try and keep costs low. What the government can't do is turn it into another Medicare debacle, which seems the course that they are intent on currently.