OK. Let's just go with the proven systems. Japan, Canada, Germany, and every other industrial nation in the world all spend less per capita than we do on health care. All cover all of their citizens. And their results are far better than ours. So, drop the ACA, and go the a universal single payer system. Real easy, go with the tested and proven.
"We're Number 37" - Paul Hipp - YouTube
ONE simple solution without DESTROYING $100 billion a year in Federal/state/Local Income taxes and without raising your local property taxes!
Why are YOU so ignorant about the $650 billion a year in "defensive Medicine" costs that the people that send the claims do because of fear of lawsuits?
Why are you defending millionaire lawyers that make $100 billion a year that CAUSE this largest cost driver, i.e. fear of lawsuits cause duplicate tests, specialists referrals,etc?
Where are YOU statistics regarding equal spending on "defensive medicine" in the above countries there are none idiot!
Solution is Obamacare taxed tanning salons. FACT! Why caused cancer therefore they want to REDUCE cancer by penalizing tanning salons!
THAT IS A FACT!
SO why not TAX the lawyers 10% of their $100 billion?
Then when the truly 8 million uninsured go to the hospital that $10 billion would be used to compensate the hospitals for unreimbursed expenses!
As a result the tax would be reduced as the $650 billion in defensive medicine costs is reduced.
Hospitals then would NOT be allowed to send Medicare 6,000% marked up over costs claims!
Again reducing health care costs!
What you obviously have is a total ignorance of these FACTS!!!
1,231 physicians...(90%) Ninety percent of physicians surveyed said
"
doctors overtest and overtreat to protect themselves from malpractice lawsuits."
"Defensive medicine is when doctors order multiple tests, MRIs and other procedures, not because the patient needs them, but to protect against litigation based on allegations that something should have been done but wasnÂ’t. according to the survey published Monday in Archives of Internal Medicine.
Besides more time-consuming appointments, patients are left with fewer services and less access to quality care as doctors either narrow their practices or leave the profession entirely."
http://www.sfexaminer.com/opinion/Examiner-editorial-Obama-wont-take-on-trial-lawyers-in-speech-57953202.html
$650 billion a year
Patients for Fair Compensation, a non-profit seeking to educate policymakers about defensive medicine, estimates that unnecessary tests and procedures cost about $650 billion a year. That is money spent on the unnecessary MRI the doctor ordered for a worker with a nagging backache, for example, and the EKG the physician ordered on an otherwise healthy 36-year-old patient with no history of heart disease.
In a 2010 Jackson Healthcare Physician Survey one doctor noted: "I have to view every patient as a potential plaintiff.."
http://www.patientsforfaircompensation.org/media/7142/pfc_wp-0612_lr.pdf
As far as your "models" of single payer...
Canadian WAIT TIMES study!!!
Statistics Show Canadian Healthcare Is Inferior to American System - Peter Roff (usnews.com)
Japan...
“The Japanese health system that had worked in the past has begun to fail,” Kenji Shibuya of the University of Tokyo and other experts write in a new issue of the Lancet, a British medical journal, devoted to kaihoken. “The system's inefficiencies could be tolerated in a period of high growth, but not in today's climate of economic stagnation.”
By 2035 health care's share of GDP will roughly double, according to McKinsey, a consultancy. The burden falls on the state, which foots two-thirds of the bills. Politicians are unwilling to raise taxes, so they squeeze suppliers instead: more than three-quarters of public hospitals operate at a loss.
Health care in Japan: Not all smiles | The Economist
NOW Germany... is successful! No question works like a charm primarily BECAUSE 91.5% of it's population is German, 8.5% European!!
almost 100% Homogenous! And Net migration compared to world 59th!
So YOUR MODELs 2 of 3 have problems and GERMANY is almost totally homogenous population so variants such as culture, diet, etc. are fairly standard BUT the
USA....... 64.7% white, Hispanic 15.1% black 12.85% Asian 4.43%
So compared to Germany USA has a heterogeneous ethnic group make up.
This heterogeneous ethnic groups create multiple problems in health care NOT seen in the above mentioned "MODEL" single payers!