First, eliminate state participation in care delivery

Second, universalize hospital care, much like Medicare Part A coverage. Everybody gets it.

Third, continue the existing out-patient care approach: the individual insurance market and employer group coverage.

Fourth, expand the FQHC public clinic system for out-patient services for the poor, the uninsured and individuals with pre-existing conditions. Allow people to choose between the competitive private insurance market and the government designated and partially government supported public clinic system.

Pay for the hospitalization and low-income elements with a 14% consumption tax.