Kriengsak Chareonwongsak motivate those with incomes

Consequently, the state would then be constrained to motivate those with incomes over the survival line to take out additional medical insurance. Furthermore, the government could aid employers (with more than one employee) to establish company health care coverage by legally allowing them to make monthly health-care and social security deductions from employees’ wages. Small and medium-size businesses could reduce the burden of administering such pooling systems by hiring outside agencies to administrate their health care and social security plans thereby sharing this fee. Moreover, the public social security system could be enlarged to include farmers with over-the-survival -line incomes. An intermediary agency could be charged with deducting a portion of the incomes of these farmers and can use them also to administer the disbursement of such funds by hiring outside agencies. By doing this, the government could provide for its entire people without having to provide equal medical coverage for everyone.
However, during the initial stages of such a plan, the state would need to continue to fund current social nets, as well as motivate people to take out private insurance or to join company insurance plans. Later though, when such a system was running smoothly, the state could cut down these social support systems as most people with above-the-survival-line incomes would have joined private or company social security programs. At that point, the government would only need to continue subsidizing the health care costs of those with incomes fell below the survival line. 

Professor Dr Kriengsak Chareonwongsak
Executive Director, Institute of Future Studies for Development (IFD)
kriengsak@kriengsak.com, http://www.ifd.or.th