This isn't an ideal solution that covers everybody, but it's a good start. Instead of the current system where real health care coverage is only available as part of a group plan, a state wishing to promote business could become the defacto group provider. Anybody in the state, from the self employed to the giant factory owners to retirees, can buy in to the plan. People on public assistance are automatically enrolled and the premiums are part of their public assistance payment.