Drug coverage should be separated out.
Drug coverage is best done on a national scale.
Without having to buy drugs, hospitals and hospital companies could sell care coverage, cutting out the middlemen and cutting costs greatly.
People should be able to import a year’s personal supply of drugs, with foreign doctor’s prescriptions being allowed entry through US Customs for FDA, Health Canada or EU approved drugs that are not addictive.
There are prudential reasons for wanting longer-term supplies at hand than most drug insurance plans are willing to pay for, viz., emergency scenarios. Tight control of drug supplies means patients will start running out of maintenance drugs like BP and blood-sugar drugs within days, weeks at most, of a regional or national emergency -- like a major war.