Eliminate Medicare and all standard health insurance and replace with a combination of Medical Savings accounts and catastrophic insurance. This would bring true comptetition on the part of providers and eliminate the overinvestment in health care done by companies that feed on the trough of public funds. This distorts the market in all facets.

When “someone else” is paying the bills, neither patients, providers have a focus towards scrutinizing expenditures.

Insurers only get paid to shuffle money, not insure for true risk. Make all parties to the market focus on efficiently expending monies to reign in costs. Pharma should have marketing expense deductions capped at 15% of revenue for any specific drug.