Pensions and health care are two major problems of aging societies or I should say problems of people, who are now in their thirties. In the longer run it is hard to design a health care and pension scheme too serve to an unknown demographics, but there are some problems, that are to be addressed in the near future.
United States are currently in the middle of their health care reform. Less known to the world Poland is also trying to restructure it's health care. When USA is coming back from private model of health care, Poland is experimenting with it. We can see that each model has its own disadvantages but also advantages, so it is understandable, that when reforming health care, governments are trying to get the best from both, hopefully without causing political earth quake.
One of the problems with health care is that, we can always pour more money into it to acquire some small addition to nation or individual life span, yet despite the fear of death we all share, we have to put a price on our lives and decide how much we want to spend in relation to additional time we can acquire for the money. Obviously the government is not necessary the one, that should be making this decision, yet if it is only up to us, we can make the prices to skyrocket. When we add to that a safety precautions against medical mistakes and greediness of private insurers, we may or do end up paying enormous money. Health is important to us, unless we are young and optimistic, so we create a lot of demand. Only considering this I make a confident prediction, that every health care will attract a lot of criticism.
There is one thing that, that I would like to point out. There are medical procedures, that are very common throughout the population, and even if they may not be cheap, they are affordable, just because the huge demand attracts a lot of competition. What's more they are often not a matter of life and death. Yet there medical procedures, that incredibly expensive and at the same time our life depends on them. However because they are quite rarely needed, the divided cost among the society is minimal.
Of course it is a bit simplified grouping, but I believe any health care reform should explore this approach. My amateur proposition would be to divide medical procedures according to how patient life depends on it and what is total cost of such procedure for the society. Then every expensive procedure, medicament or examination, that is not life and death matter, should be provided by a private sector, while the opposite by a national insurance. The middle will be of course the hardest to deal, but appropriate mixture by trying and failing method can be obtained.
Unfortunately this idea is quite hard politically to promote in Europe, where people are used to get their health care for free or low cost, but in USA it probably would be much easier. Funny thing is, that in Poland we kind of going into that direction. Our social health care is ineffective, so the private sector is filling the demand, but of course any expensive procedure is a domain of national health care (and cheap ones for poorer people). However living in Poland I hope I won't have to be dealing with our national health care in any near future.