> "Given how it works, I just can't imagine how you could reform healthcare in any meaningful way without outright terminating some of the plans as they existed

> "Given how it works, I just can't imagine how you could reform healthcare in any meaningful way without outright terminating some of the plans as they existed." I'm just spitballing here but... grandfather in all existing medical insurance contracts unless the individual chooses to terminate the contract. Let the insurance industry bank on the fact that the number of grandfathered contracts will only trend down over time. Maybe it would hurt their profit margins, but how much hurt? Probably not enough hurt to knock down the industry is my guess.