This is a big problem in my opinion. For one thing, I can't imagine many people would agree to it in the first place. For another, I've often seen such a proposal backfire and leave the people even less satisfied than before.

My suggestion is that we have a much more modest and incremental proposal. Instead of seeking such a big-bang revolution, I think we should propose the following:

1) A simple, single-payer, universal system for all residents, regardless of income level.
2) That all residents will have the same comprehensive benefits (mental health, dental, optical, long-term care, vision, primary care, emergency services, and preventive screening).

3) A premium that will be collected for each individual based on income. For those in the lower tax bracket, this premium would be less than 2% of income (less than $10,000) or 4% for those in the upper tax bracket (more than $500,000). In the middle tax bracket, the premium would be half of that for those in the upper or lower tax bracket.

4) All residents should be required to pay their own co-pays in the form of vouchers for health care services (except for preventive screenings). For instance, for dental care services,