Make the service so bad that anyone with the means will opt out for private care.
The two-tier system: it seems to work in Australia, Britain, and now Canada.
Come to think of it, we have a two-tier system in the U.S.: private insurance and Medicaid. The only difference is the gap in the middle: those not poor enough to qualify for Medicaid, but who can't afford or don't qualify for private insurance.
Obvious solution: take the Canadian route. Make Medicaid available to everyone, but make the service so bad that people will want to buy private insurance.
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