How about introducing a new highly competitive health insurance company run by Government, and let free market fix other greedy insurance providers. Start by taking over Big Three employee health insurance under new public company. It is a double whammy: it will relieve car industry legacy cost and at the same time provide basis for start up against prejudice of government run companies, even tough lower class allready knows benefits of Medicare over private insurances. In time it might become universal health care if it stays highly competitive.