Fresh Health Care Options

Ideally the U.S. health care system ought to remain entirely private. No public plan of any sort should be in the wings as it is now with ObamaCare.

Changes should still be made with regard to extensive tort reform and arbitration of malpractice claims.

And most importantly, an arrangement, where citizens get to pay for coverage with direct tax-deductible dollars.

If you want some sort of state arrangement of health care for those with no coverage at all, have each state administer its own system. Damages can then be localized. 

You can have a central data bank for important medical information, but each state should enforce what it wants for its own citizens. (See the Earl J. Weinreb NewsHole® comments and @BusinessNewshole at Twitter.)