Well; I don’t consider myself to be a GOPer (more of a Constitutionalist) but lets give it a try, shall we?
1: Allow everybody to create and own a tax free medical/health care account.
2: Allow all health care and health insurance companies to compete for business across state lines (no artificial barriers).
3: Allow health care portability for people who are moving to another city or state.
4: For the young and stupid who don’t think they need health care or don’t want to pay for it; calculate the median costs of a doctors visit, emergency room care, maternity care, etc. etc.
Calculate the median costs of these services nation wide; that is the bill the patient will be responsible for paying over a 20 month period (to be extended if the bill is huge), the payment can be voluntary or through wage garnishment, if were talking about the chronicaly unemployed (the sick, lame, lazy, or crazy) the debt can be paid through public service at a local hospital (good job training also).
Pre existing conditions can be insured through a specialty group of insurers that insure those patients only; yes, the costs would be higher but it could be made to work.
Those are just some ideas; maybe good, maybe bad, but it’s better than what you have now.
Prescription drug prices also have to be addressed.