I doubt it possible to reduce the cost of health care in the US by using insurance companies. They are a layer of overhead that adds nothing to the quality of care, yet they add tremendous costs to subscribers and all medical practices. Has anyone looked that the cost insurance companies add to the equation? While the term "socialized medicine" is a bad word in the US, the Japanese system *seems* to work well, citizens *seem* to be happy with it, and so do the providers. Let's study their system and see if it makes sense for the US.