Forbes May 19, 2019
Brook Manville

A recent NBC/Wall Street Journal poll again demonstrated that health care is the top government priority among voters. So how are our political leaders tackling the question? For Democratic presidential candidates, the debate is mostly about a new “Medicare for All”—somehow expanding government coverage for every American (alas, with little discussion about how to fund it). Republican leaders have focused primarily on dismantling Obamacare, though President Trump last week called for bi-partisan legislation to reform provider billing practices. Yet such issues are only a fraction of the tangle of healthcare challenges that, as Mr. Trump once noted, “nobody knew could be so complicated.”

A Bigger Strategic Monster

That complexity, besides being mind-numbing, has also blocked more serious strategic thinking...

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