Not gonna happen in the near future. Tax increases on the "rich" such as the medicaid portion of your paycheck are much more likely as is extending the SS tax to all earned income.
There are ways around it but it would take a radical shift to accomplish. The single best way is to disengage employment and health care in order to put competition into the health provider market place.
At any rate, those are my feelings on the subject.
What a radical and novel idea! At the very least, there needs to be an incentive for each consumer of medical care to price shop, pending the ultimate squaring of the circle. Thus the rationale for HSA's, and it is a good one. Heck, I get my drugs from Costco, because I have to pay for the bulk of my drugs.