Health Affairs December 6, 2019
The US health care system delivers a mix of the admirable and appalling, and most Americans are happy with it. Because most people are fairly healthy at any given time and therefore use relatively few medical services, it can be difficult for politicians to make the case for big change. On the other hand, big change, in response to a perennial health care “crisis,” has been the focus of well-documented initiatives now spanning more than 50 years.
We believe that fundamental solutions to today’s refractory health care problems are mostly ideology-free. Furthermore, flexible implementation of these solutions is possible, whether through the current hybrid private/public system or through a single payer or fully privatized system.
The authors have a combined...