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Improve Markets, Not Government Controls, for Real Health Reform

Antos, Joseph PhD

The Journal of Ambulatory Care Management: July/September 2019 - Volume 42 - Issue 3 - p 173–177
doi: 10.1097/JAC.0000000000000282
Moving Forward the Health Policy Agenda
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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.

American Enterprise Institute, Washington, District of Columbia.

Correspondence: Joseph Antos, PhD, American Enterprise Institute, Washington, DC 20036.

The author has disclosed that he has no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

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