Whose original healthcare reform plan was centered on the following?

Smoking and obesity cause most chronic disease. I was able to lose weight, and so can you. So when I’m president, the “free market” (incentives? penalties? both?) will ensure that Americans exercise, eat right and stop smoking, thereby savings hundreds of billions of dollars in health care costs.

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What do others feel about a system heavily based on this kind of rewards-punishment thinking in healthcare? Even if the entire system could not be built/based on such incentives, is there any significant place for such thinking in the future healthcare system, especially a single payer type system? How would that work?

of any health plan. However, punishing either is a dead end process. All you do is set up a plan that has a right to arbitrarily deny care for whatever it feels is unattractive at the moment.

Such a plan might routinely deny cardiac heroics to people with a strong family history of cardiac problems on the theory that they're only prolonging the inevitable.

I want a plan that is universal, that will provide treatment to us all no matter what baggage we bring to it as human organisms.

Only a young, healthy person who thinks he's always going to stay that way would think in terms of punishing the imperfect among us, whether or not he thinks that imperfection might once have had a voluntary cause.

Michael Moore interviewed a doctor in the UK who said that he gets bonuses for getting patients to stop smoking and take other preventive care measures. That seems like a good place to start to me. People who don't smoke, aren't obese, have normal cholesterol etc. could also get lower premiums and/or taxes. I say that as an overweight non-smoker. :)