My issue with this is that it presumes "healthcare" and "medical care" are the same thing. Study after study after study indicates that diet and lifestyle are major factors in health outcomes and greatly influence your odds of suffering the deadliest conditions. But getting a prescription for a pill is a lot easier than making dietary and lifestyle changes, so a great many people will go that route and then complain about the high cost of medicine when they wouldn't need medication and frequent doctor's visits if they just took care of themselves. If you really want to bring down medical costs, people will have to start taking better care of themselves. Restructuring how we pay for it won't do a heckuva lot towards lowering costs if people continue to pursue self-destructive lifestyles. To the degree that it adds regulation and bureaucracy, the odds are good it will increase costs.