Apparently the current initiatives started with
Nixon, they have not worked.
This industry should have addressed the upcoming problems with predatory practices and ensured that they maintained their niche in the long term. If they had reduced the profits in the short term and ensured quality service to the community, we would not be having these discussions. We would not have a large population of disposable people without health care who are trapped in a vicious circle of dependency.
This industry chose to steal from service and harvest huge profits for their investors. They have identified hat they cannot self-regulate. They have had 37 years to make this work, they have not. Technically they have committed service fraud supported by their cronies in government.
This country needs a house cleaning, but in the mean time people suffer through the vicious predatory cycle that has been implemented.
I opt for this becoming a social service provided by the government, which should answer to the society which it serves. It has a vested interest in a healthy tax paying population. The government should not tell people where to go or who to see, it should just facilitate and support the service and protect against fraudulent practices.
I have had discussions where people do not agree with this position, claiming that government should not tell them who to see. They trust companies who have demonstrated that they are opportunistic and multi-national to take care of them, not to let them die so that organs could be harvested for some rich guy across the ocean. They trust them not to experiment on them. When I say this they say that the the government should regulate these practices. So I will pay some insurer that may or may not cover a condition and then I will pay the government to oversee their buddies. The result will be that the individual is lost in the bureaucratic red tape - which is what we have.
With national socialized medicine at least the individuals will be medically cared for. The pool of money would be self supporting regardless of economic assets of the subset, whether state or corporation. This would continue through the human life cycle. The rich would still have the choice of going to see a "better" doctor but every legal citizen would be taken care of.
Having provided that rant, regardless of model the goal is to maintain this society not to prey upon it.