Step 1 try for single payer system
Step 2 get a compramise bill passed that you know ill destroy what is left of free markets sytem watch costs continue to rise and less people covered.
Step 3 demonize evil employers and insurance companies
Step 4 reintroduce single payer socialized medicine as only solution (if fail return to step 1 if succesful go to step 5)
Step 5 blame long waits and poor quality to not enough money in system blame rich for not enough tax money.