The USA feels all people should have healthcare; young, old, immigrants, rich, poor. So make everyone pay incrementally. Support NATIONAL healthcare with NATIONAL SALES TAX on everything purchased; food, web purchases, everything. Every will pay; employers, consumers, rich, and poor, immigrants, everyone.
I don’t know how to craft a good infrastructure for national health care, but we currently have a good base to build on. As long as you have money to support a program, you don’t have to worry about cost-cutting on services.
By funding Capitated Primary Healthcare for low-income individuals and families we can create a platform for quality and accountability that will transform and lower healthcare costs for everybody. Simply by moving the bottom we will cause a shift that will percolate through the whole system and bring change.