1. Decouple employment and healthcare.

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This is #1 and by FAR the most important. As an entrepreneur, getting and paying for good health insurance is my biggest challenge.

1. Improve Access to Health Care

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By expanding access to health care through initiatives like Medicare and Medicaid, more people would be able to get the care they need.

1. Establish a national health care program

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This would provide all US citizens with access to basic health care, regardless of their income level or employment status.

1. Allow companies to form and then get compensation based on patient health, not illness

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The more treatment someone needs the more healthcare companies make.

1. End/Limit the FDA

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A drug is approved by the FDA after three trials (a fourth trial is ongoing I believe).

Phase 1 tests safety. That's the only trial that they should have. As long as it is safe, let the market decide which drugs work.

How come?

A) to go through all the phases could costs $100s of millions of dollars. This drives up the price of medications and also prevents life-saving drugs from hitting the market sooner.

B) companies have to raise that money from investors. So companies that are unsuccessful at raising money often never get lifesaving drugs to the market.

C) There is a degree of implicit corruption where former FDA officials often find jobs later at big Pharma. This is not conspiracy theory but fact. Former SEC officials often end up at banks. Former Congressmen end up at lobbying firms, etc.

So the FDA has its uses (Safety) but let the markets and other modern technologies decide which drugs work.

1. Not every patient needs to see “The Doctor”.

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Physician Assistants and Nurse Practitioners are a great asset in family practice, Emergency Dept, Urgent Care, and many other settings. This needs to be expanded even more.

1. Study other health care systems that work well

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For example, the NHS in the UK. The systems in France, Germany and other EU countries work well too.