1) A 26 year old adult should not still be on the parents health plan. Become independent and get a job. In the grand scheme of things, that probably will not make much of a difference in premiums, aside from the fact that it is less policies that get sold since that generation will stay on the parents family plan for the additional period of time. However, the vast majority of individuals in that age range require minimal healthcare expense to insurers. We have created a generation of irresponsible adults that will shift this country toward a Greece situation if the reins are not pulled back.
2) I would eliminate the pre-existing conditions clause and expand a safety net solution for individuals that fall into that category. The Blue Cross, Anthem, Cigna, etc.... of the world will make a profit. By forcing them to cover pre-existing conditions, they are gouging everyone else. Like them or not, it is and will continue to happen. This is one scenario where I would feel more comfortable giving the govt a small portion more in taxes and let that money be utilized to expand a safety net solution that is distributed to the states to manage.
3) At the federal level, open up the ability for insurers to sell insurance nationwide and not require the negotiations to happen on a state-to-state basis.
4) Baron's idea on how to handle big pharma is I think a good solution to reign in the industry.
5) Ban lobbyist in the healthcare industry as a whole. Lobbyist are crippling this country in every aspect possible.