> I think the right way to kill health insurers is just by fiat. Medicare for All. However desirable that may be, the reason it is unlikely to happen is that t

> I think the right way to kill health insurers is just by fiat. Medicare for All. However desirable that may be, the reason it is unlikely to happen is that the incentives are aligned the wrong way for the relevant decision makers. Insurance companies are funding congressional campaigns; as long as this goes on, Congress is unlikely to try to put insurance companies out of business.[1] The approach discussed in the article, for all its weaknesses (which you have nailed, IMHO), at least has the incentives in the right direction. Congress may love insurance companies, but hospitals and doctors do not. [1] Indeed, one of the primary points of "Obamacare" is that Americans are now required by law to purchase insurance companies' offerings.