Here's a simple US healthcare solution: The very poor have Medicaid anyway, so they already are covered. We can largely forget about them. The over 65 have Medicare, so they are already covered. Ditto. 80% are happy with their coverage. Ditto. A large number of the uninsured are uninsured by choice, since they earn enough to buy insurance but choose not to, or they are young and don't think they need it. This leaves a very small number who are not covered by Medicaid or Medicare yet can't afford insurance. So, here is my solution: instead of getting all self-righteous and "generous" with other people's money via the federal government, why don't people who want to club together on an entirely voluntary basis and contribute out of their own pockets towards buying insurance coverage (either in the form of "medigap" or complete policies) for the small number of people who genuinely are not covered through no fault of their own? This could range from small groups of people (e.g. 3-10) buying policies for specific families, or larger scale schemes paying into a communal pot which then buys coverage for qualifying people. It wouldn't require any legislation, it wouldn't require the federal government, it would have very low overheads, it would be entirely voluntary, and people who care can contribute their own hard earned rather than having it forcibly confiscated from others. Even though I am incredibly opposed to a federal healthcare monstrosity, I would contribute to such a scheme. Seems simples, no?