Improve Markets, Not Government Controls, for Real Health Reform.

Abstract

Proposals to replace the existing mix of public and private health financing with a fully nationalized government system ("Medicare for All") fail to address fundamental problems of high cost, overutilization, and inefficiency. Those proposals are a reaction to the Affordable Care Act, which provided new insurance subsidies but did little to solve the cost problem. Stabilizing the individual insurance market is not the goal. Reform should focus on making the entire insurance market and the health delivery system more efficient and more equitable by promoting consumer choice, market competition, private initiative, and state experimentation.