If Carlos Molotov Pavlov could somehow get himself into the regulatory authorities in charge of the insurance companies and there spread the regulatory paradigm concocted by the Basel Committee (with his assistance) then perhaps these regulators would nominate three health inspection agencies to rate the health of the insured; and require the insurance companies to put up more capital when they sell health insurance to someone with a low health rating; and letting them almost off the hook if the insured is deemed to be in tip top form.
This should guarantee such an increase in the Gini coefficient of the Empire that, according to what he was taught as a young revolutionary guard, he is convinced this would lead to a real revolution.