The solution to healthcare reform in the USA is for the federal government to provide every citizen the opportunity to enroll in a private healthcare program. Then, through a program similar to the current Medicare Advantage program, the federal government would pay a fixed premium to the private healthcare plan on behalf of the citizens enrolled in that plan. The private healthcare plan could then accept that premium as the total required amount to cover that citizen or offer additional benefits and coverage to that citizen at an additional premium.
- The private healthcare plans would be regulated by the federal government and the state governments in a manner similar to the current Medicare Advantage plans.
- Each citizen would be covered by a basic healthcare plan.
- The private healthcare plans would compete with each other to offer the best benefits and coverage at the lowest cost. The minimum cost of each plan would be the amount provided by the federal government under Medicare Advantage.
- The current Medicare program would be phased out, and all citizens would be covered by Medicare Advantage.
- Individuals could choose to purchase additional benefits and coverage at their own cost, and the private healthcare plans could establish the risk selection standards and the premium rates for those additional plans.
- While many decisions would be required, the basic structure is already in place for the Medicare Advantage plans currently offered to people over age 65.