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Vikings: 1) needs sorting out I agree, the whole USA system of sue needs capping. Something that over here we've had.
2) Our gov uses a similar system to get part time workers into full time employment. It works. But as to people shopping around for a doc... This is a Hippocratic situation and as such I feel set limits on what doc's can charge should be limited.
3) I thought was already somewhat in place. All UK people are advised as a matter of course to take out medical insurance when visiting another country to which they are not covered automatically. Also.. if this recharge was in place then as such then every country ought to do the same.
Our docs have a sign that if you have medical insurance to tell them.