The goal is always ideological victory and Votes. Free market solutions for everything except military spending. All uteruses must be controlled by the federal government with laws written by males only.   Choose your own doc as long as she doesn't work for Planned Parenthood. Health care only for US Congress.  The rest need to use their own $ to redirect into a government controlled savings account.  Cap Medicaid to states but not congressional premium imcrease allowances.  Reduce annual support for those making $20k per year from $3k to $2k.  Increase penalty for insurance lapses by $3k per year on $10k of annual premium cost.  Pay for it all by price signals coming from across state lines.