[john70t]

I'd suggest:
1) The AMA and the educational systems aggressively start marketing the need for doctors, especially general practictioners, to fill the numerical needs of our growing society. Demand is way ahead of supply.

2) The AMA streamline their physician reviews, allow changing of physicians within all medical systems(HMO's), have emergency complaint departments available, and pull licences aggresively for aggreigeous cases. No more murdering quacks bouncing from state to state two steps ahead of the law.

3) Set limits on pain-and-suffering cases

4) Allow and make publically available in easy-to-read format doctor/office rates, patient complaints, and physician reviews so the customer isn't stuck with an emergency "contract-by-adhesion"- not knowing what they are in for.
Except in the case of superglue accidents of course.

5) Reign in the corrupt pharma-kickbacks to control drug costs. Most basic drugs(except anitbiotics) have been around for a long time and work just fine. Simese-twin patenting and rebadging them under different names should go out the door.

I like the idea of a dual system as well.
I recently had a (lucky) chop saw accident that required 4 stitches with a tetnus, and required a quick 20 minutes of stitching by a nurse. The cost? $1,100!!! There were no alternatives available except the emergency room.