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Former Alaska senator Mike Gravel proposed a single-payer system of sorts, but under his system each American would get a health care voucher that they would use to purchase their choice of five or six private insurance plans. “Everyone gets the same product. If you want more than the product you’ve got, you pay for it,” he said.

Gravel said he would not expand Medicare or Medicaid unless “we don’t see the private insurance companies shape up.”

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