End employer provider health care. That would : - Increase the paychecks of those with insurance by the insurance amount. It would also either increase the paychecks or make companies more profitable (yes, that is a good thing) by the amount the company pays in. - Make people be able to change jobs more easily. - Make people more responsible for their own insurance so they'd look at the policies they're actually buying. Instead of just being happy they're getting it they would almost certainly shop around more. - Yes it would increase taxes because this would now be taxable income. Whatever that amount of additional taxes is, that would go into a pot to help those making less than, pick your number, say $40K.$60K (individual/family) to get insurance. It would NOT pay for the insurance but would subsidize it. The prez said there's no such thing as a free lunch, that goes for health insurance too bud. - The amount of increase the government subsidies can increase by is no more than inflation for the year. The "public option" and "single payer" is crap. Instead of threatening the viability of the current system we need to make it more competitive and there's no better way than to put the choice even more in the hands of the consumer. Make sure there are no limits to the number of insurance companies in any area and let the real flow of competition take place. Please note for those who like to call me selfish, this would result in a tax increase for me whereas the House "tax the rich" plan wouldn't. On the macro level I would also be looking into cost cutting that we've talked about including tort reform and re-doing prescription drug agreements with other countries who are getting our drugs cheap.