The government has no business dabbling in anybody’s healthcare. Medical decisions should be between the patient and their doctor. A government bean counter shouldn’t be involved. ESPECIALLY SOMEONE FROM THE IRS.
Correct, no third-party payer at all.
To achieve that we need to pass:
1. pricing transparency
2. national purchasing rights (across state lines, over the Internet, etc.)
3. let individuals get the same tax discount that businesses get for insurance.
4. Commerce Clause enforcement. If Wickard proves that everything is in commerce, then why are local, county and state governments allowed to interfere in the medical/healthcare market with restrictive licensing, permitting and regulation? (for this one we need a conservative POTUS, but the top three can be done via Congress)
Of course to do all this we’d need Congress, both Houses and a mildly conservative POTUS.