I believe government is the best vehicle to provide health insurance. No profit motive, no descrimination against pre-existing conditions, and the largest pool of participants you can possibly get. Look how your plan is run. You get routine stuff for free but when it comes to the expensive stuff, you're gonna get screwed. Is that how you want an insurance plan to work?
Nope. Sadly, the government dictates how insurance companies can operate. Back in the early 2000's I had what I would consider close to an ideal policy. My company paid for a high-deductible insurance policy, and contributed to an HSA in the amount of the deductible (eg. The company would buy each employee a catastrophic health insurance policy, with a $3000 deductible, and contribute $250/mo to the HSA which, after a year, completely covers the deductible. Once your HSA was fully funded, the company continued to contribute to it.
The beauty of the plan was that the money in the HSA was your money. You could literally spend it on anything (they gave you a checkbook). If the expenditure wasn't medical, you would lose the tax exemption and the money would be taxed as income. But it was yours to keep.
This scheme was considerably cheaper for our employer. The company was paying something like $150/mo for the policy, and $250/mo funding the HSA. Group insurance at the time would have cost them more than $500 per person, and that's still has the employee holding the bag on an $800 deductible, whereas ours was completely covered. This setup saved the company $100/mo per employee and provided them with zero-deductible health insurance.
It also restored a critical missing component to the healthcare market. Because the HSA was literally your money, you had a powerful incentive to spend it prudently.
In addition, since you're literally writing a check, doctors treat is as though you're paying cash. Because you are. Several times I was offered significant discounts, unprompted, when I mentioned I'd be writing them a check at the end of the appointment.
But wait, there's more!
Because the HSA was your money, you had incentive to keep yourself healthy as well. As long as you stayed in good health, you could treat it like a tax-free savings account. That sure beat just
giving it to the insurance companies unnecessarily.
Of course, ACA made all of this prohibitively expensive, or illegal.