Things Are Going to Get Interesting

Some are predicting a state-based national health care system that makes this a part of our tax system and not part of our employment package. This would mean that everyone in a state or region is covered by a single insurance provider who bids for that business through the state. This would keep insurance companies in business and would ensure that everyone has health care. This might reduce some physicians' costs since they wouldn't have to track multiple payers and systems in their practice. It might also help integrate care among providers since, presumably, there would be one single data system and electronic record used across the board for each person.

Some are predicting a more radical national system of health care ... something with reduced provider reimbursement, similar to what Canada has. 

Personally, I have yet to hear of a possible solution that sounds reasonable or even doable.

No matter what happens, the next six years are bound to be critically important to those of us committed to changing the health care system. And the only thing I can currently predict is that they system will not look or act the same when we're through. Things are going to get interesting.

What would be in your dream health care system?