Single payer
The major reason that nobody can come up with a sustainable system is the health care industries stranglehold on improvements or any changes; twenty percent of our national economy is made up of healthcare insurance companies, pharmaceutical companies, hospital chains, and for-profit healthcare medical conglomerates, medical devices makers and last but the least all of the above tainted with greed! As you can see they make up one of the largest organized constituencies in our country; they control our government which is made even easier because of an ignorant electorate. The only workable system is as close as our nearest neighbor--Canada, be a copy-cat Americans, it is working! Also look at the rest of the industrial, civilized world's countries who have a single payer system, they all work for their citizens. We need to change immediately to maintain our great country's place among the world's elite! We are running out of time folks!