I agree and you could take some fight out of elite wealth by giving them the same base of support.  Those that want to can compete for higher coverage 

But that creates mandate for 'basic' coverage and there you get a fight on what's covered for everybody.

Private health car will have luxary health care and get a high cost which for their income is dicretionsry spending.

I think we're stuck with a tiered system, but the basic will be pretty generous.

That's my best guess-today. Lol