It is as simple as expanding medicare to a universal system. I would do better by also having it adminsitrered at the State level. That enters additional competition into the purchasing system.
I find this develoment to be extremely hopeful. They know it is broken and they also known that most doctors are also financially abused as well.
I want to share another consequence of a true medicare system. The doctor no longer worries about getting paid at all. Private systems automatically demand an in house accounting and collection system that always has a huge amount outstanding. This ends. Canadian country doctors thought that they had died and gone to heaven when the system came into Canada.
Propaganda to the contrary, there is no meaningful move of Canadian doctors to the US market nor from any other country with a medicare system.
The system solves probably ninety five percent of need at least. In the end even that is more than good enough. Remember that in Vancouver, a homeless guy can get full medical assistance.