Opinion of these health care cost-saving measures?

[Kahane's Grave Is A Gender-Neutral Bathroom]

It's no secret Americans are in terrible health compared to the rest of the developed world. There are multiple explanations as to why that is, but others have gone into that. A solution we need to talk about is how to reduce healthcare costs for average citizens while also encouraging health. Here are some ideas:

General reforms (for everyone):
-Shorten exclusive patent rights and allow the government to negotiate prescription drug prices.
-Establish a public option for medical services

Body fat under 20.0%:
- 25% extra subsidy for purchasing ACA exchange plans on top of any other one (if you pay 50% market with ACA subsidies you'd get your bill cut down to a mere 25%).
-$1,000 maximum annual out-of-pocket for prescription drugs
-$125/month maximum public option premium
-Expands Medicaid to all remaining uncovered people

Body fat under 25.0%:
-15% extra subsidy for purchasing ACA exchange plans on top of any other one (if you pay 50% market with ACA subsidies you'd get your bill cut down to 35%)
-$1,500 maximum annual out-of-pocket for prescription drugs
-$225/month maximum public option premium
-Universal 138% FPL Medicaid ceiling through a free public option below that number to comply with SCOTUS precedent.

Body fat under 30.0%:
-$2,000 maximum annual out-of-pocket for prescription drugs
-$300/month maximum public option premium
-Keeps current Medicaid/Medicare policy

Body fat between 30.1%-35.0%:
-$600/month maximum public option premium
-Increases the Medicare age to 67 years old.
-Allows a 20% premium discrimination bias (so you could charge 20% more, etc)

Body fat over 35.0%
-Requires that states foot the entire bill for Medicaid recipients over this weight if they don't have a condition that prevents it (like being pregnant or disabled. Think current southern Medicaid rules).
-Raises the Medicare age to 70 years old.
-Allows a 50% premium discrimination bias

[If my soul was made of stone]

You do realize that this would disproportionately drive up the healthcare costs of the poorest people in this country due to food deserts, already poor access to healthcare services (especially preventative care), poor access to fitness resources like gyms, substance abuse problems in those communities, etc, right?

[dead0man]

Since fatties use the most health care (more than smokers, ex smokers or the elderly), it makes sense to charge them more.  If you're going to shorten patent length and allow the govt to negotiate prices, you're going to want to make it easier/faster to get drugs to market.  We don't want to slow medical advances just to save a few bucks.  (of course we also don't want to keep subsidizing the world's medical advances)