Roy’s plan changes the structure of Obamacare’s subsidies by benchmarking them to a high-deductible plan with a health-savings account — providing a powerful incentive for people to move into consumer-driven health plans. The HSA would be funded in part (depending on income level) by federal subsidies, which would roll over from year to year, giving consumers incentives to stay healthy and to make cost effective health-care decisions when they do need care.
The difference between subsidizing Singapore-style health insurance and mandating Obama-style health insurance is significant.
This is even more significant:
Medicare eligibility age would increase by four months every year until the program is totally phased out, to be replaced by putting seniors on the reformed exchanges.
Actually, with longevity increasing by 3 months per year, I am not sure that Medicare would phase out as rapidly as they think. And any step-up in anti-aging innovation could mean that longevity increases faster than 4 months per year. Still, better to be raising the age of eligibility gradually than not at all.
Singapore maximum deductibles are around $1600, a small fraction of US deductibles even for more comprehensive plans.
Well, probably a third or so.
Singapore median household income is $7870 compared to $53,890 for the US
The median household income figure of $7870 is a monthly value averaged across only households with someone working: http://sbr.com.sg/economy/news/singapores-median-household-income-4-7870
If you look on a GDP basis, both Singapore and US are at similar levels, around $50,000 per capita.
Your focus is on the wrong problem though. It is not excessive use that we must deter but insufficient use of lower cost options to reduce the most expensive. That and the cost problem which dominates major medical.