First, I'd stop, immediately, using the phrase "Repeal and Replace".. Too often when the current administration and the democrat-controlled legislature were debating the inevitable passage of "Obamacare" Frequently the GOP members were heard saying that they approved of every single aspect of the bill, but wanted to pass it in pieces and parts.. The counter was obvious, "why?" If you agree with something as it is, why tear it apart and pass it piece by piece..? That made zero sense.
2nd. Creating a regulatory requirement that all insurance companies Must provide coverage to anyone with a pre-existing condition in order to maintain their charter. The cost to the consumer must be no greater than the median of their current policies.
3rd. Declaring that anyone issued an ID card by the Department of Veteran's Administration, who is non-active duty, will be able to use their accompanying benefits at any hospital and any doctor, of their choosing and their care will be covered.
4th. Those who are collecting unemployment benefits will be granted access to a medicare-type of program for the duration of their benefit period. The health insurance will continue after their unemployment benefits run out, until such time as they become employed, at which point they can opt to keep that coverage, should their employer not offer insurance or the offering be too expensive, however there will be a slight fee to maintain the coverage.
That seems simple enough, but what about everyone else..? How do we drive down the costs..??
These models often times cost tens or even hundreds of thousands of dollars to build. That's a lot of money, for sure.. But before the first shovel breaks ground on a construction site, to begin the process of building a multi-million dollar structure, these scale models are a necessity.
I would, instead look at the Existing Scale Model of Government-run healthcare, the one that's literally been stuffed in a closet on Capitol Hill, collecting dust and been ignored for the last several decades. It's time to bring it back into daylight, dust it off, knock down the cobwebs and make it Perfect, by current standards. Then we can begin to look forward.
But, alas.. I am not a moderately successful real estate developer. Nor am I much of a philanthropist.. I'm certainly not Donald J.Trump ..if only someone like that existed, though…