"I think one answer might be a two tiered system. One that is no strings attached basic healthcare for all and a second tier for those who want 'premium' health

"I think one answer might be a two tiered system. One that is no strings attached basic healthcare for all and a second tier for those who want 'premium' healthcare through their employer or other private means. Reason is even in places with universal coverage, often times people will get private coverage for a multitude of reasons from quality of care, to wait times, to experience of staff, etc. " Exactly. That's how it works in most of Europe.