Thanks for the thoughtful analysis of the potential implications. I'd consider adding a policy mechanism that ranks all procedures and medications in terms of their necessity and cost/benefit; and cutting off what's covered at whatever point is required to keep the system financially solvent. This was proposed 10+ years ago by Oregon's Governer at the time who is a physician.

Article here... https://www.npr.org/templates/story/story.php?storyId=133446...

Relevant excerpt... "The state maintains a list of nearly 700 medical procedures ranked in order of priority. Right now only the top 502 items on that list are covered by the Oregon Health Plan."