> instead of a public option, just allow Americans to buy into other countries' health systems, for example, France's. One problem is if this is opt in, only t

> instead of a public option, just allow Americans to buy into other countries' health systems, for example, France's. One problem is if this is opt in, only the elderly and sick will want to buy in and the foreign government would balk at the large number of high risk signups. Young and healthy individuals who are accustomed to the freedom of not buying insurance and just going to the emergency room will be reluctant to pay for something that they believe they don’t want. There’s also a mismatch between therapies permitted by the FDA, religious freedom laws, etc.