The debate over our health insurance/care system has missed one crucial element. There is no reason health insurance should be treated any differently than any other type of insurance that people purchase. Insurance is, at base, a bet on the future. Depending on your personal risk-tolerance, you purchase a certain level of insurance--or not. Risk pools are determined by the populations of insured and prices set accordingly. It is only when artificial barriers are raised (primarily through Government intrusion) that the balance of risk and payment are disrupted.
An example would be the flood insurance market. It is only because the goverment is involved that people continue to rebuild in hurricane and known-flood zones when they know there's a good chance of total-loss catastrophe. When the "governement" has your back, your risk tolerance is skewed. You engage in riskier behavior. Kinda like when Mommy is always there to pick you up when you trip. More homes are built in danger zones, requiring higher costs each time for rebuilding, leading to higher premiums. Private insurance companies cannot compete when the odds are so high for heavy duty claims. The government, however, with its apparently endless source of funds, just keeps taking it on the chin and paying out on these lost causes. Individuals accept the largess as if it were a Constitutional right. Unfortunately, it's a lie that there is an endless source of funds, so this paradigm is doomed to fail.
If there were no government flood insurance for these super-high-risk zones, then people would build there clearly understanding that they are responsible for any loss that occurs and any rebuilding they choose to do. If a private insurance company is willing to cover them at a premium the homeowner can accept, then fine. Otherwise, they are on their own. They have knowingly put themselves at risk and must suffer the consequences. That's freedom.
Although certain people do engage in high-risk personal behavior, health insurance as a concept is slightly different in that illnesses can strike, and accidents can happen anywhere and any time. Cancer can come suddenly, for no apparent reason, no matter how much you take care of your body. If a person has inadequate or no insurance, nor has personal funds to cover the necessary care, compassion would say that this would be a place where government should get involved. Up to that point, however, individuals should remain in charge of their own health care decisions and payments. That is the only way to normalize the market--bring prices to realistic levels that healthcare providers and users can afford.
The first thing that needs to happen is that employers should be taken out of the equation. Every other type of insurance can be purchased easily by individuals. Why not health insurance? Except for the historical precedent of FDR, there's no reason that employers should be involved at all. There should be no mandates that employers provide any levels of insurace. They can offer to raise employee pay by the amount of the premium to allow employees to buy insurance. These funds could be either taxable or pre-tax. Employees would then be able to seek out coverage that fits them, not some one-size for all plan that the company selects for them.
Further, all US citizens should be able to purchase health insurance across state lines and government should not be allowed to mandate what types of coverage insurance companies offer. If an insurance plan does not cover X procedure, and a person thinks X procedure is a must, then that person should seek another plan that includes it. In no case should the government force the insurance company to include X on their plan. Doing so can only result in higher costs.
When it comes to health insurance, many people seem to have very high risk-tolerance. Young people come to mind. They often do not see the need to purchase health insurance. After all, it can take a big bite out of a young person's budget. I once was of this frame of mind, but my parents set me straight and I always thereafter carried a high-deductible, catastrophic type of policy at minimum. Sadly, youngsters of today don't always have such wise parents. So when they suddenly need care, and don't have coverage, the society at large ends up paying for it. Though I am loathe to admit it, it is probable that some form of requirement for minimum coverage is needed. The DMV requires it for cars and drivers, after all, and we acquiesce. The key here is the word minimum. The 21-year-old man doesn't need a policy that includes yearly mammograms, okay?
Any how, that's my thoughts on this so far. Besides, gotta get back to work!