The preparation of such a list of insurees would be a necessary part of any program to provide health insurance to these people, so the plan suggested here requires no extra costs or activities in this regard. Nothing more might be required than recording data for those people who apply, as with most government transfer programs. Obtain a medical history for each person. The Medical Information Bureau already has information obtained from insurance companies' physicals in a data bank that covers a huge proportion of the U. S. population. Auctions could take place at regular intervals as pools of HMO refusees accumulate.
All potential bidders assemble in the auction hall or attend electronically at a distance.
And the auctioneer then moves on to contract 10346. Computer technology will be helpful though not indispensable in implementing the process. The terms of the contract may be anything that the Congress legislates. The auction scheme could easily accommodate a provision for the insuree opting for various types of deductibles in combination with medical savings accounts. Every insuree gets covered, because there is some price at which every insuree would be profitable for some company.