Andrew Sprung lists the reforms he would implement if he could "make policy by fiat":

First, I would find a way to give the government (probably federal but possibly state, or some hybrid) the sole power to set uniform prices for all medical procedures.  Every other wealthy nation on earth provides universal healthcare to its citizens, and virtually all of them accord sole pricing power to the government (provincial governments in Canada's case), whether or not they strain those payments through some form of private insurance. In the U.S., we pay far more per procedure than any other country, primarily because the government lacks this pricing power.  Our doctors -- specialists, in any case -- are overpaid, an advantage (to them) partly offset by the ridiculous administrative costs of dealing with multiple insurers, the outsized cost of malpractice insurance, and the huge financial burden of unsubsidized medical school. I would seek to ease those burdens while also reducing most specialists' profit margins.

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