Experts from all over the country are at the University of Nebraska Kearney talking about the policy and philosophy of markets and medicine.
Tom Bowden is an analyst at the Ayn Rand Institute, and the 2013 Marienau Symposium's keynote speaker.
Bowden says undergrads need to be a part of America's health care debate because their generation will be putting the most dollars into the Affordable Care Act's insurance market place.
"It's a generational combat, but what I'm saying is let's step outside that way of looking at it - it shouldn't be young versus the old, the sick versus the healthy - it should be individuals purchasing health care the same way they purchase food," says Bowden.
How health care can best serve everyone is the root of the dialogue policy experts and health providers are having.
While Bowden likens it to food, some panelists say there's still discussion on whether insurance should be like being able to afford a smart phone - you get what you can pay for - or if it's a moral issue.
"The central question I think is do we think health care is just another market good, or is there something special about health care that should give it different attention and different rules?" says Wade Maki, a senior lecturer of philosophy at the University of North Carolina-Greensboro.
Some providers say they're already working on lowering the cost of health care for all. The Lexington Regional Health Center is trying to prevent costly readmissions with more follow up care.
"We're giving them a call after they get home, we're giving them a call again in a couple of weeks to say, hey, have you gotten your medications, your prescriptions filled, do you have questions about the disease that you have? Do you need any help connecting with a provider?" says CEO Leslie Marsh, who also says that follow up approach works best when they partner with other community agencies to get the right resources to the right people.
Experts agree that more changes are ahead for both patients and physicians in the coming months when the online exchange gets off the ground and insurance cards get sent out.