Require health clubs to provide a document for its members for their attendance, a 3 day a week minimum (or 150 visits in a year) to be applicable for the credit towards the membership.
This would encourage American's to become more active and fit, thus lowering the amount of money we spend annually for healthcare. It would also help drive a lot of business to a lot of small business owners, in turn also helping main street.
Instead of being reactive with our health care issue, lets stop the problem before it starts and be proactive with this idea.