We could end the IRS, plus the buildings that have to be rented, bought heated, air conditions, up keep, ect. If we just had a national sales tax.
While I agree with vouchers in general, your numbers are way off.
I’m only 45 and have to pay for my own insurance. It isn’t even great health insurance, but it costs me $8800/yr.
You know what would lower healthcare costs hugely ? Switch the income tax to a flat 10% rate. It would raise the same money, but would stop inflating doctors’ fees to pay their 40% tax rate. They do employ lower-taxed lower-wage people, but still 25% of doctors’ fees are going straight into the tax coffers.
It would be better to (a) either limit the amount offered for Medicaid to an amount based on income or lower the threshold for Medicaid, and (b)require the amount the individual does not need for the health plan they chose to go into a health savings account - which would result in more people taking less costly plans and paying more medical expenses directly out of their health savings account, causing them to be more frugal and do more comparison pricing for the services they pay for that way.