What about using public funds for infrastructure (buildings and equipment) with private insurance paying only for personnel and supplies — with rates adjusted accordingly. That would still leave medicines to deal with, but at least it would resolve a big chunk of the problem.

What to do about young, healthy adults with no children who don’t want to pay a serious amount of money for health insurance?

How about a cheap monthly retainer in place of insurance, paid directly to a hospital or a clinic — or even a pharmacy that hired RNs or PAs for the service? Say, $25/mo.? $50?

For that money they would provide an annual physical and triage services: seriously sick or not. Every 1,000 enrollees (less than three physical exams/day — the service would have to be available every day, anyway) would represent (at least?) $300,000/yr.

Enrollees who were seriously sick (cancer, etc.) would at that point purchase private health insurance (see above) or be enrolled — permanently — in a public insurance plan. Based on some formula, some portion of the amount that had been paid into the retainer plan would then be paid to the insurer. Those retainee providers would become in effect adjunct insurers, i.e. determining what to do with the operating profits from that revenue, based on probable payouts.