Screw this.
Want to simplify it?
We go Single Payer on a nationwide scale... socialized medicine, American style.
Every procedure (or service) is coded.
Every procedure (or service) has a range of allowable prices that providers can charge.
Every procedure (or service) is adjusted by region to account for differences in cost of living, et al.
Every procedure (or service) has established invocation and authorization protocols.
Every procedure (or service) can be ordered outside the realm of such protocols but providers must defend their decisions, to ensure accountability.
Pay off the Big Healthcare Insurance Company shareholders, then walk into each, and turn off the lights.
Bring Big Pharma to heel and nationalize any Big Pharma asset which fails to play ball with the overhaul.
Every American, from the loftiest officials, to the lowliest plebian, is obliged to subscribe to the American National Healthcare System.
Throw in another couple of hundred details and we've got a ballgame.