My solution would have been to extend Medicare to those who wanted it and charge them for this year's coverage as well as retirement coverage. When you consider the resistance that the minor changes of ACA brought out from Republicans, I accept the judgement of the pundits who concluded that bigger changes were not possible in the here and now.
This excuse is null and void. No Republicans voted for ACA. There was exactly no reason to worry about any of their 'resistance'. The Democrats in Congress passed the "reform" they wanted to pass. The refused to pass single-payer, 'Medicare for all', and the 'public option' because the insurance lobby complained. Period.
Yes, me and a friend was talking today, and we said that there should have been an insurance card or cards issued to three groups of citizens under Medicare as a single payer plan for the workers, the poor and needy along with a plan for the seniors. We could take that card and go anywhere we wanted to the lot of us, and it would be good for services in the health care industry with out being discriminated against at all. If having trouble with a tooth it would get the job done, or if having trouble with your heart it would get the job done. What ever taxes in the amount needed, could be taken out of a workers check each week to pay for most of this. It should show up on the pay stub for all workers who have this card. Example: HCS (Health care services) could have been the code on the stub for it, and it could have been around say $10.00 a week or what ever is figured to be taken out that to be calculated for the plan for workers. People who don't work or are in poverty because they don't work could have a different card issued to them under a different plan for that. Also seniors could have a card suitable for their needs under a plan for them that is identifiable for them also. Three plans parts A, B, and C, and three cards issued for the three groups involved. Then a task force created to battle any fraud, over charging and such would also be established. Game Over! The middle man gone, and direct payments would go to the ones who deserve to be paid the most, the (Doctors, nurses, hospitals, and senior services). I also agree that this tax would be applied to all who work, including the young who work, even if they don't need it right now, because there will come a time when they will need it in the future, and the same will be done for them by the next generation.