Health Reforms for Voters


Health care consistently ranks near the top of American voters’ list of concerns and is likely to remain there. In fact, in Americans for Prosperity’s latest health care poll, conducted on June 22by Public Opinion Strategies, health care is in the top three, right behind inflation and jobs.

The vast majority of voters reject a government takeover of health care — they want to keep what’s working and fix what isn’t. But you would never know it from listening to candidates on the campaign trail this year. As the midterm elections approach, the nation’s two major parties are offering voters an unpalatable choice between Democrats’ failed health care ideas and Republicans’ seeming unwillingness to discuss their ideas.

That’s a shame, because while 70 percent of Americans are satisfied with their current health coverage arrangements, AFP’s polling shows 70 percent are also troubled by some significant problems. Voters are frustrated by the high and rising cost of health care, its baffling complexity, and their rapidly shrinking access to trusted doctors and facilities. And while they may not understand exactly how the current system favors special interests, and is dominated by insurance companies and government bureaucracies, they clearly see the negative effects and want change.

Instead of practical solutions to these problems, what are the two parties offering? Democrats are doubling down on existing government programs like ObamaCare and Medicaid and calling for intrusive, innovation-stifling government price controls — failed policies that are likely to make things worse rather than better.

Many Republicans, astonishingly, have gone mum on the issue.

Both parties are out of touch. This creates an opening at the center of the debate for practical, open-minded candidates who take voters’ concerns seriously and offer commonsense policies to address them.

More than 80 think tanks and research organizations, including ours, have tried to do just that — find a sensible middle ground on health reform that can break the existing, partisan logjams. We studied the issues and came together around a series of detailed recommendations, which we call a Heath Care Choices agenda.

The Goodman Institute and the Heritage Foundation distilled these ideas into some easy-to-understand, practical reforms. At the same time, AFP activists around the country have been building support for many of these reforms under the banner of giving Americans a “Personal Option.”

Here are ten of the most important recommendations:

  1. Let families have access to insurance that meets their medical and financial needs, instead of forcing on them unaffordable deductibles and sky-high premiums.
  2. Let families have access to the best doctors and the best hospitals, instead of narrow networks that deny them the care they need.
  3. Let employees have access to personal and portable health insurance that travels with them from job to job and in and out of the labor market.
  4. Make virtual medicine a permanent option, so that patients can get more care in their own homes.
  5. Let families have access to low-cost, 24/7, insurance-free primary care, including phone, email, and virtual visits — at night and on weekends.
  6. So they are treated more like valued customers, let patients who want to do so manage more of their own health care dollars.
  7. Let seniors have the same opportunities young people have, including access to health savings accounts.
  8. Let families know the exact price of care ahead of time, so they can plan accordingly and save money by making smarter choices.
  9. Let patients with chronic diseases have access to centers of excellence that specialize in their conditions.
  10. Let Medicaid enrollees have access to the same private insurance other families have.

Support for this agenda is growing among pundits, providers and policymakers. In fact, it polls off the charts. In AFP’s polling, where it is described as a “Personal Option,” it beats Democrats’ “public option” plan by a solid 8 points (54 percent to 46 percent) and beats “Medicare for All” by a staggering 24 points (62 percent to 28 percent) — a landslide.

Politically, it gives free-market advocates something we have never really had: a comprehensive health care agenda that resonates with voters.

Importantly, it would not disrupt your existing health care arrangements or weaken existing government safety nets or insurance protections. Instead, it would give you more control over your own care and empower doctors with new and better ways of meeting your needs.

The health care experience would no longer be such an ordeal. It would be more like shopping online or at your favorite grocery store. You’d enjoy a wide selection, clearly marked prices, and far fewer hassles and surprises.

This agenda is achievable. It should be welcomed as bipartisan.

Certainly, it offers voters a more exciting vision than the current, binary choice between failed ideas and no ideas.

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  1. “Let families have access to insurance that meets their medical and financial needs, instead of forcing on them unaffordable deductibles and sky-high premiums.
    Let families have access to the best doctors and the best hospitals, instead of narrow networks that deny them the care they need.”
    In other words, let families choose high cost and presumably high quality care – but not suffer the present high deductibles and sky high premiums.
    This does not compute.

  2. A system that is universal, accessible, publicly financed, affordable based on ability to pay (progressive taxes), equitable, administratively efficient and allows free choice of qualified providers are policy features of a single payer system which would assure comprehensive health care for everyone that the Goodman Institute recommendations could never achieve.

    Uwe Reinhardt would be 85 right now. It’s too bad that he is no longer here to explain it to us one more time: “The issue of universal coverage is not a matter of economics. Little more than 1 percent of GDP assigned to health could cover all. It is a matter of soul.”


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