Defund or tax and pay more for it are the two obvious options.
Replacing it with coupons will be more expensive and is a giveaway to insurance companies.
But perhaps, I have been too harsh calling him a huckster. Given this is the “math wizard” who can’t read an opinion poll maybe he is sincere and not that bright.
RE: Given this is the “math wizard” who can’t read an opinion poll maybe he is sincere and not that bright.
Or maybe he understands that the big bang approach you are prescribing just isn’t practical...