Free market, let companies offer coverage across state lines, allow competition.
The very premise that there “needs” to be an “alternative” I.e. “replacement” is wrong.
The system was only broken due to meddling and frivolous lawsuits.
HMO s came about in the wake of the 1993 Hillarycare attempt.
And everyone knows the joke about HMO s.
Actually they date back to the Nixon days.