Hi everyone! I would like to start a discussion about healthcare in the US. It seems to me that there are two distinct major paths that could be taken: some kind of market-based solution, and some kind of state-run solution. The ACA was basically a swing at a market-based solution (with an added expansion of medicaid and some other protections/regulations, and a mandate that made people pay a fine if they didn't get coverage (which was an attempt to get healthy people into the pool). The idea of the ACA was to create these healthcare "exchanges" where, hopefully, the free market forces of competition could bring prices down. It didn't really work all that well for a number of reasons, one of which was probably that we were forced to stick with ACA 1.0 because of Republican stonewalling. My position is, the absolute best thing would be to have a single-payer program like they have in Canada or the UK. As Bernie Sanders has suggested, a good way for us to do this is to expand Medicaid and/or Medicare by gradually reducing the requirements. I am okay with the idea of a market-based solution, assuming we can make such a thing work. I am not OK at all with the idea that "if you can't afford health insurance, you just die, or go horribly into debt". That seems totally immoral to me and any system that has that result will be rejected by me. Are there good market-based solutions that can guarantee that everyone has health coverage? Are there other solutions that haven't even been mentioned here? What is your ideal healthcare solution for the United States?