Want to save the countrys medical care system. Empower the people to care for themselves.

1) Empower physicians assistants and nurse practitioners to do GP, geriatric, standard pediatric care, and some orthopedic services – including writing prescriptions. Physicians can supervise a hoard of the new, cheaper professionals.
2) Save bedpan care for the indigent who do not have families. Let parents and children perform bedside care services that are paid for now. This is a little third-world, but will cut in-hospital costs dramatically.
3) Enable competition and Wait! Dont do anything! Insurance companies will run into resistance and lose clients if competition is empowered.
4) Limit government insurance to catastrophic care and regular insurance companies to non-catastrophic care. Subsidize catastrophic care, but not non-catastrophic care. Permit a wide range of insurance product for non-catastrophic care, so people can choose the services they wish to pay for. Those who cannot or will not pay for any non-catastrophic insurance can attend emergency rooms that might be expanded at government expense to handle the overflow. Payment at these emergency rooms should be fee-base on a sliding scale, as well as subsidized by government. This is the cheapest way to handle the non-insured population. Even a five-dollar copay will ensure having some skin in the game.