Forbes December 4, 2021
John C. Goodman

Almost everyone who writes about health policy these days assumes we have a national system that needs national reform. Republicans would like to repeal laws. Democrats would like to pass new ones. Yet, both seem to agree that any reform worth talking about must be federal.

The reality is quite different. We have not one, but 50, health care systems, and they are not alike. Without any change in federal law, some states are making radical changes that are lowering costs, increasing quality and making heath care delivery more efficient.

To get the full picture of what is happening and for recommendations for what states can do, consult “Don’t Wait for Washington,” produced by the Paragon Health Institute. What follows...

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