ACA definitely moved us closer to that model. The biggest misses were providing a government fallback plan (aka Medicare-if-no-other, which I don't think is pa

ACA definitely moved us closer to that model. The biggest misses were providing a government fallback plan (aka Medicare-if-no-other, which I don't think is part of it?) and regulating negotiations between providers and payers (so as to avoid payer combination into a few large companies, who can then get the best prices from payers).