We are probably as close to universal health insurance as we are ever likely to be. Yet we are doing a poor job of delivering care to families at the bottom of the income ladder. These families find that as their income goes up and down and as their job opportunities ebb and flow, they bounce back and forth among eligibility for Medicaid, eligibility for subsidized insurance in the Obamacare exchanges, eligibility for employer-provided coverage and sometimes eligible for none of the above. More.
It was supposed to help those with pre-existing conditions, but they pay dearly for bad options.
When Democrats passed the Affordable Care Act of 2010, President Obama and lawmakers made the same claim over and over: The act would make good, affordable health insurance available to people with pre-existing conditions. The actual result has been the opposite. Obamacare makes health insurance as good as possible for the healthy and as bad as possible for the sick.
From John Goodman’s editorial in the Wall Street Journal (Paid gateway)
A new book calls for universal health insurance coverage, but with no increase in government spending. It’s getting a lot of attention in progressive circles. Yet a bill that would go a long way toward implementing Finkelstein’s proposal has been introduced in Congress by a conservative Republican. More
It’s been 15 years since John McCain ran for president with a plan to completely revamp our healthcare system. In the interim, Republicans have attempted a nip here or a tuck there, but nothing really big. Fortunately, Rep. Pete Sessions (R-TX) and his colleagues have come to the rescue with a reform plan that is a pro-patient, pro-family, pro-free enterprise alternative. It is based on three fundamental values. More
Expanding Medicaid to the relatively healthy might make sense if it improved general health. But there is little evidence it does. In Oregon, for example, a first-of-its-kind controlled trial tracked individuals who applied for Medicaid through a lottery. After two years, there was no discernible difference in the physical health of the winners and losers. More
For the past half century, virtually every major attempt to reform the health care system has involved people who don’t practice medicine telling the doctors who do practice medicine how to manage their affairs. Yet none of these solutions appears to work. Costs keep rising. Quality of care is not measurably improving. And, access to care (as measured, say, by per-capita doctor visits or the length of time needed to see a doctor) seems to be getting worse. So why not try something different? Why not allow the folks who practice medicine and who are in the best position to eliminate waste, improve quality and expand access to care to solve the very problems no one else seems able to solve? More
The emergence of Uber and similar ride services and the pandemic-induced phenomenon of working from home are radically changing the nature of work. The idea of “an hour of work” for a single employer is increasingly a meaningless concept. But without that metric, you can’t make sense of “minimum hourly pay” or “overtime” and other features of 85-year-old labor law. Moreover, millions of people no longer want to be traditional “employees.” To facilitate that desire, we need to let independent contractors have all the tax advantages employees have with respect to health insurance, retirement pensions and other benefits. More.