Personal responsibility in my context means you pay more out of pocket, quite a bit more. You cannot lower premiums with a $5000 deductible, $20 copay to pcp, $50 to specialist, drug copays and so on. If you gave up your copays which most people cannot even remember there weren't any 25 years ago and paid the first $5000 then 80/20 up to a moop of $10000, then the posibility exists of lower premium's. Or a straight cat plan with high deductible and a lifetime max of 1 million = lower premiums.
All of what you described above was the system that was in place before Obamacare was even contemplated. The reason for Obamacare was specifically because what you described above led to 60% of all bankruptcies with the average Medical debt being about $17K per bankrupted.
Rather than pay for all that shit, wouldn't it be a lot more economical to have a single payer funded by a flat payroll tax so that way everyone -businesses and individuals- didn't have to worry about coverage? It costs about $17k
per employee to provide employer-provided care. $5k of that is paid by the employee and the remainder paid by the employer. For a business of 50 employees, that's $600K a year! Wouldn't it make much more sense to not have to burden employers with that and instead put in a modest 6-7% tax on income to expand Medicare to everyone? Under Bernie Sanders' single-payer proposal, a business would pay 6.2% of its
income toward Medicare-for-all. Most small businesses barely clear $400k in income. It would take a small business to generate roughly $9.5
million in income to pay in taxes what they currently pay now to insure their workers. The only small businesses making that much income are hedge funds and financial services...in which case, **** those guys. **** them in their asses.