There is an alternative called free market capitalism, consumer sovereignty and an efficient price-based regime of health care resource allocation and delivery. Go to a Wal-Mart. What goes on there proves that consumers could do the job — if they got their dollars back and third-party payment system was taken off its government life-support from Medicare-Medicaid and tax expenditure subsidies.
And, no, that would not leave the elderly high and dry. Given them cash or vouchers, not medical entitlements to scooter chairs, and let them shop, too. In no time they would figure out the angles or find service providers who would help them efficiently navigate them system.