As the reality of higher premiums and more restricted access continue to rear their heads as Obamacare takes full effect January 1st, it will be prudent to revisit some alternatives to solving the healthcare access debate.

Here are 8 real world, workable contributions to make health care more affordable while at the same time allowing more choice and individual responsibility. Let’s ask to unleash the creativity of American ‘know-how’ to help get the goals accomplished, not seek central, bureaucratic ineptitude (the law itself and the exchange as hard evidence) to be tolerated any further.