If "realistic" equals X, then give X value of, "Coherent plan based on real-world model that has some chance of being enacted in current dysfunctional political climate."
Obviously there are other plans that are implemented by other industrialized nations, some of which are far superior to the Swiss model. None would make it through the toxic swamp we call Congress.
Your free-market-everything notions are no more likely to be enacted than a Norwegian-style single-payor system.
I realize that sitting in a padded, wing-backed chair made entirely of radical ideology is, if nothing else, comfy—but on this issue I would appreciate seeing you step outside of your comfort zone and address what is possible, all things considered.
The Swiss model (as mutated through HeritageCare, RomneyCare, and Obamacare) can be made to work. It does not need to evolve into single-payor, or national insolvency, or any of the other apocalyptic tropes that appear to give such visceral pleasure when forecast.
The status quo ante was not acceptable, affordable, or humane. See the fate of Ron Paul's campaign manager for reference.
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