Ideally, I think that the best system of healthcare for the US would, in large part, replicate that of Germany. Personally, if I had any say in government, this is what my ideal healthcare legislation would look like:

1) Allow people to buy into Medicare. 2) Implement a universal catastrophic coverage program. This program would cover operations with high-deductible costs for middle-class and wealthy Americans while essentially providing single-payer health insurance for the poor. This would remove the need for Medicaid. 3) Replicate Maryland's all-payer rate setting policy nationwide. This would prohibit hospitals from charging different prices for the same operation, but would still allow cost competition between different hospitals. All-payer has been shown to control health care spending. 4) Eliminate the tax deduction for employer-sponsored insurance, saving the federal government close to $250 billion a year, allowing it to fund universal catastrophic coverage. 5) Introduce a Cadillac tax, a tax on expensive health insurance plans. This would mainly target employer-sponsored plans and would also act as a cost-controlling measure. 6) Require all private health insurance companies and hospitals be non-profits. 7) Require health insurance companies to participate in the exchanges. 8) Restore the individual mandate. 9) Reverse cuts to ACA funding. 10) Find a suitable replacement to the now defunct risk adjustment payments. 11) Allow pharmaceuticals to have competitors for a certain drug after 10 years rather than 20 years. 12) Allow Medicare to negotiate with hospitals and pharmaceuticals for better prices.