The "complexity" of reform proposals is often used to diminish their chances of survival. But, aside from not being so complicated (everything's complicated if you drill sufficiently deep into it), they're mainly tough to absorb because we're taking in all the facets of the health care system at once. At the moment, we don't do that. So it's interesting to see the OECD give it a shot with our current system. The OECD collects data on the health structures of every member country, and here's their graphical representation of how financing works in ours. It's almost comical looking: