4 ways states could improve Healthcare and phase in universal Healthcare.

1. Make accepting Medicare, medicaid, and obamacare plans as in network a condition of licensing to operate for all providers and medical facilities.

2. Offer buy in at cost to medicaid at 10% of income.

3. Cap annual out of pocket costs at $100 a person $500 a family.

4. Cap employee portion of employer based Healthcare at 20% of employee average net income.