If not, then need to remove requirement that hospitals provide emergency care without regard to ability to pay. I don’t think that would fly.
FAMILY based Health Savings Accounts. w/ emergency tapping of all member 401Ks without ANY penalities, as a safety net. Each account requires catastrophic insurance purchased on the nation-wide open market. Up to 5 generations (people are living longer) of familiy members can all tap and input to the same HSA. At the time of marriage both must select either one HSA family or the other. All or any chosen amount HSA unused inputs at every January 1st can be rolled into all the members 401Ks without penalty or taxation. Each HSA lives on “forever” through family child-bearing adding the next generation.
Fades out social security and institutes market forces to keep medical services and goods shopped for by its members competitive.