|The American health care system is one-sixth of the entire U.S. economy. It is larger than the entire economy of Britain. It is folly and dangerous to try to restructure that large and complex in one massive bill rammed through Congress. There are bound to be problems in such an ill-conceived undertaking.
Instead, we must reform health care slowly and carefully and in stages, by letting the 50 states act like laboratories for health care solutions. Let’s find out what actually works.
There are two major reforms that already have broad bipartisan support that can move us forward in this way and should be considered immediately.
1: Give states more freedom form federal rules to experiment with health care reforms, like medical malpractice reform and allowing people to buy health insurance across state lines. This approach worked with welfare reform.
2: Fix the tax treatment of health care in a budget neutral way so that lower-paid taxpayers get a bigger tax break for their current coverage costs or if they buy coverage outside the place of work. With this reform, you would no longer lose your health insurance when you move or lose jobs, just as you don’t lose your car insurance or life insurance when this happens.
It’s time to scrap the current monstrosity, take out a fresh sheet of paper – or hit the “reset” button – and start again.
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