Oh we think about it all the time. Trust me. We think about how we can elect people to change it because in its current state it is a huge hindrance.
I agree with detaching HC from small business. I have been single payer base coverage for a while. Then let people supplement with additional insurance if they choose.
The basic would have to be broadly based. It would have to include things like chemo and other treatments.
The good news is without infrastructure and cutting the massive middlemen charges the prices could be much lower. It could also mean great savings on prescription drugs could be dramatically cheaper if the feds negotiate prices here.