This article only really addresses primary care, what about major surgery, emergency care, disease management? That's where the majority of the cost is and how

This article only really addresses primary care, what about major surgery, emergency care, disease management? That's where the majority of the cost is and how can a person be expected to be able to pay for an operation that costs double or triple their yearly income? As soon as you involve some kind of public assistance for those who can't afford care, you invite regulations and we're back to where we started. Sure starting completely over and removing all regulations sounds nice, but big money in health will always make sure they get policies they like unless we're going to also address imbalanced political influence.