I’ll see Will’s interstate competition suggestion and raise him tort reform, letting mutual insurance companies write health insurance, and letting people (both as individuals and business owners) form buying groups to get large-group rates.
All market-based solutions that will bring costs down, make coverage more affordable, and thereby get more people covered.
AND WON'T COST THE TAXPAYERS ONE RED CENT!.....................
Add to this letting us buy only the coverage we want and need. Various groups are always lobbying state legislatures to force insurance companies to cover their particular pet disease, condition, test, or treatment modality. Some of them, such as chiropractic and psychological counseling, can go on forever. Now if people choose that, fine, but don’t force others to pay higher premiums for that coverage.
Other things also - not everyone needs coverage for pregnancy, etc. Why does insurance have to be one size fits all?
As someone said, we need less health insurance and less government, not more.