I would set up a network of monopolies around the entire country. Meaning that most Americans would only get one or two options. Then I would use that monopoly to grow health care costs at 5x the rate of inflation. Simultaneously, I would cut costs by decreasing services, and then I would pack my plans with only healthy people. Then I would hire people to contest as many claims as possible. Granted, I would be fucking the patient/consumer, but I would be taking care of owners/investors.
Then, I would take my artificially inflated profits and pour some of it into the Republican Party so as to protect my monopoly at the legislative level.
And then I would pour money into popular media, which would convince the American public that my monopoly was in fact a free market, one that represented the free, uninhibited choices of suppliers and consumers. (I would make sure that the American public never focused on how much money I poured into congress in order to grow and preserve the very monopoly that allowed me to rape consumers)
And if the Democrats ever tried to fuck up my free lunch, I would buy enough of them to ensure that any changes they made to health care benefited myself and my shareholders.
The one thing I would not allow is a single payer system where I was prevented from terminally raising premiums while at the same time decreasing services and shrinking coverage options.
The key, again, is to convince people that the trillions of lobbying dollars I poured into congress did not create an anti-consumer market distortion. The key is to convince people that our terribly broken, non-competitive system that was bankrupting middle class Americans was in fact a free market. And that any attempt to undue my lobby-created advantage over consumers is socialism.
The one thing I can't afford us for the public to find out why I had to purchase a political party in 1994 (to fight HilaryCare), and how much money I have since given to that political party so that they would create the legal infrastructure that would allow me to divide the country into fixed no-compete zones .... which in turn would allow me to terminally raise rates without being disciplined by market competition.