So imagine a health-care "free trade zone" - where one pays cash, no 3rd party payers, US malpractice laws don't apply, doctors don't take Fed.gov medicaid or medicare, drugs are priced on free-market. Doctors are totally free to set their own terms.
You can keep the present bloated, socialist Medicaid/Medicare system, knowing many Americans depend on it, and also because it is politically un-reformable.
Just allow another free and organic system to grow alongside it and give Americans a choice and an outlet.....
might work