What if there was a bank account available, that required you to deposit monthly, what you would have paid an insurance company in premiums, for an ACA silver plan. So for a family of 5 about $2100. The amount would then be used for Stop Loss Insurance set at $30k dollars. About $300. Another $200 would be used for local Direct Primary Care for your family The balance would be in YOUR bank account. Like an HSA, It could only be used for approved medical expenses. If you never have any medical expenses, you will get to keep the money plus checking act level interest, when you turn 65 If you have a medical event that is more than what you have saved, your bank will loan you the money you need to pay for it, up to the $30k stop loss trigger You would repay that amount using the monthly $1600 net deposit. Once the loan is paid off, the deposits start to accrue to you again. This is not insurance. It’s a specially designed bank account that gives you control, support, a doctor to work with and catastrophic financial protection. Lots of work and issues to be addressed. But I was curious what people think Let me know !
The one debt you can’t ever pay off ? Your insurance premiums. You literally will pay an insurance premium monthly, till you die. But we don’t look at it like it’s a debt paid to an insurance company that will do all it possibly can never spend it on your care. We are working on a non -insurance solution. The day HSAs no longer require an insurance policy, it all will change. finance.yahoo.com/sectors/he…
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Replying to @mcuban
I really like this idea. We've trained people and many employers to be completely passive about healthcare. Just hand over the premiums, cross our fingers, and hope the insurer doesn't screw us when we actually need it. That's why so few people even bother appealing denials. Insurance companies think in 12-month increments because that's how their risk pools and quarterly numbers work. They have zero incentive to invest in someone's long-term health. What you're describing flips that completely. It puts people back in the driver's seat as the actual CEOs of their own healthcare. Instead of renting protection from a middleman every month, you're building something real with your own money. The DPC gives you a doctor who actually knows you, the stop-loss handles the nightmare scenarios, and the rest sits in your account hopefully growing and earning some interest if you stay healthy. The stop-loss component even gets rid of the need for catastrophic coverage? I'm glad you're thinking beyond the employer-dictated model. I wish healthcare was not tied to your employer. My dad was a type 1 diabetic his whole life, and his biggest stress was almost always "do I have a job with good insurance?" Before the ACA, it was basically impossible for someone like him to get covered at all. The fear of losing coverage tied people to jobs they hated and made every career move terrifying. Redirecting what employers already spend on premiums into these kinds of personal accounts could finally start breaking that grip while still giving companies a predictable, controlled way to support their people. Obviously plenty of details to hammer out but the core is powerful. It rewards staying healthy, encourages smarter spending, and actually builds wealth instead of just feeding the system. Tools and resources that help people think like owners instead of passive consumers? Curious how you'd see this working on the employer side? Could they just redirect their current contribution straight into the account?

Apr 16, 2026 · 3:14 AM UTC

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Replying to @mcuban
This all isn’t just theoretical. We’re seeing this show up in real data. Recent polling by @FundThePatient found that 84% of voters react favorably to the idea of “funding patients, not the system.” That lines up with what people are feeling: 75% say the system isn’t meeting their needs 78% believe they should control their own care and more than half say their current insurance doesn’t actually give them that freedom That’s not a niche opinion, that’s a signal. And it's signaling from both parties and independents. The people are not mad at just Big Insurance/PBM/Pharma -they are mad at the whole thing. People don’t just want better insurance. They want a different relationship with the system entirely.
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Replying to @Terrilox @mcuban
Terry, The answer to this death spiral of impersonal care, accelerated healthcare costs, doctor burnout, and an increasingly burdensome bureaucracy is to return the buying power for care to the patient. Put patients in charge, with every American having the choice of present options OR expanded health accounts that can pay cash for nationally available private catastrophic insurance, routine & direct care. Fund these accounts with means-tested federal/state deposits replacing Medicaid, CHIP & the ACA, employers’ pre-tax contributions, and yearly deposits minus bureaucracy costs to Medicare recipients. Should you want more on this subject, try my books, amazon.com/author/kennethafi… Ken Fisher, M.D.
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Replying to @Terrilox @mcuban
I created this website to push back and give patients and physicians a voice. Please go to saveprivatepracticemedicine.… and sign up and contact your representatives. We need to work together to do this.
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