I have a kind of dog in this fight, because I have now landed in the belly of the beast.
Well, so to speak. I now have an information technology job in a state Medicaid agency. They don’t set policy, they don’t govern how the system is used. They just make the computers handle the scads of data involved.
I believe in constructive answers to almost everything. I would recommend that politicians don’t forget Medicaid when seeking to reform Obamacare. Even if repealing Obamacare pro-forma, something has to be done for cleanup. And the government does have some responsibility there because it is the one that mucked the situation up so royally. I’d suggest as robust a return to the private sphere as possible, and don’t forget Medicaid there. Even getting Washington out of its picture (make it a states-alone enterprise) would improve matters immensely.
I agree that Washington should be entirely removed from health care other than inspection and disposition of immigrants at the border.
I agree with private health care, the patient paying, and a big dose of "the customer is always right".
It will never be perfect or perfectly fair, but just so very much better it the government is forced to but out.