The government should subsidize the creation of a "medical credit bureau." This organization would create a "medscore" for each health care consumer. Patients who followed preventative medicine orders would have good medscores, those who eschewed preventive medicine would have lower medscores. The medscore would be accessible by all insurance companies, so it could be taken from insurer to insurer if the person switches jobs. In this system consumers would have the incentive to maintain good medscores to keep their insurance premiums down in the future (just like we don't default on credit cards so we can get a mortgage in the future).
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This system already exists, but the insurers won't let you know it. The health care industry is as interested in profits as the home insurers are. Read READER'S DIGEST, Nov. 2005. Consider this: the next time you use one of those Shopper Discount Cards at your grocery to buy beer or medicine, it goes into a file with your name on it. Don't think those files are inviolate. Furthermore, don't think those files are even accurate. You don't even need that card to get the best price, just identify yourself with your phone number.That guy behind you buying drugs can use your phone number (and will) if he doesn't have a card of his own.
Big Brother doesn't need any encouragement, or help.