We are a commune of inquiring, skeptical, politically centrist, capitalist, anglophile, traditionalist New England Yankee humans, humanoids, and animals with many interests beyond and above politics. Each of us has had a high-school education (or GED), but all had ADD so didn't pay attention very well, especially the dogs. Each one of us does "try my best to be just like I am," and none of us enjoys working for others, including for Maggie, from whom we receive neither a nickel nor a dime. Freedom from nags, cranks, government, do-gooders, control-freaks and idiots is all that we ask for.
I am medically self-insured, to an extent. I am responsible for a $20,000 two-year deductible on all medical expenses, and after that my quite inexpensive major medical (aka "catastrophic") insurance kicks in.
Much to my surprise, it turns out that many both large and small businesses use this same model, as do many large unions. In most of those cases, however, the business or union covers the costs of the deductible, and brand-name insurance companies administer the policies for a fee.
My small union finally got [some six years after I told them we should bargain for it -- we could have gotten more then than we did now] HSA + catastrophic coverage option under a self-insured university plan. Of our 100 or so members I could only successfully explain to some half-dozen why they should take the option.
To date, those who took it, including one whose family had an unexpected and quite expensive medical situation all love it. Others are starting to warm to the idea.
That sort of thing should be the basis for any national health care policy.
I stumbled into a line of work that has provided Lamborghini health coverage for the past 60 years. The line of work hinged on perfect physical condition, so I always shied away from doctors for fear they would find something disqualifying. The family, however, is another matter. I constantly have to chide the better half not to run to the doctor for every little ache and pain, and to lay off pharmaceutical shopping. Someone, somewhere has to pay for all of that.