Affordable Care Act isn’t the fix America needs



careGovernment mandated health care, as called for in the Affordable Care Act,  would provide health insurance for most Americans, but it does not solve our  access problem, nor will it drive down costs. We absolutely need health care  reform in America. Our per capita health care spending, both public and private,  exceeds all other developed countries’. Despite this, we do not achieve better  outcomes on many important health measures.

During this election year, Americans should be demanding the whole solution:  insurance for all, better access, with incentives to live healthier and contain  costs.

Health care in America is so expensive because it is a controlled and  inefficient market that is hamstrung by middlemen (“third party”) insurance and  government oligopolies. Both providers (doctors) and consumers (patients) have  few choices with whom to contract and little knowledge of the money changing  hands. This opaqueness and decoupling of the consumption and delivery of care  makes it inefficient and costly. That is, it is easy to spend other people’s  money; you don’t care if your doctor orders a third MRI on your knee prior to  your knee arthroscopy.

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