Easy peasy!
Unclear if he means Medicare, Medicaid and the VA, but there’s no logical reason why they shouldn’t be included. It’s fantastic! Just give the money to the people so they can give it to the big bad insurance companies instead of the government giving it to the big bad insurance companies. That will lower the costs hugely and the people will have a lot more money to spend and everything will be perfect!
Thank God his uncle taught at MIT.