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End the duopoly

Reforms Should Empower Healthcare Entrepreneurs Not Bureaucrats

Getty Unaffordable healthcare is an unnecessary access barrier that has burdened too many people with financially ruinous debt. Worsening these outcomes, healthcare waste is excessive, and productivity is stagnating.

In response, more and more policymakers are favoring reforms that would nationalize healthcare or create a public health insurance option. Further socializing the U.S. healthcare system in not the answer.

The government already pays 41-cents of every dollar spent on healthcare, and government regulations and tax subsidies fundamentally influence the remainder. Since government policies drive the current system, it is reasonable to conclude that government failures also drive its problems.

Consider that on a per enrollee basis, Medicare’s administrative costs are consistently higher than the costs for private insurers. Medicare and Medicaid also reimburse providers at unsustainably low rates. A single-payer system, or a public option program, would undoubtedly continue these traditions and increase administrative costs while imposing tremendous financial stress on many providers and healthcare facilities.

When combined with the record of single-payer systems in other countries that includes lengthy waiting lists , access issues , and doctor shortages , the argument that the system’s current problems can be fixed by expanding the government’s control over healthcare falls short.

Instead of increasing the role […]

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