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U.S. Health Care Reform: Universal Insurance or Affordable Care?

July 03, 2017

By Don W. King, M.D., J.D., Visiting Scholar
Originally published in June 2010. The U.S. leads the world in medical innovation and likely leads the world in quality of care. However, U.S health insurance and medical care are very expensive and Americans may be spending more on health care than is necessary to achieve the highest quality. This paper recommends a healthcare reform approach that emphasizes the importance of each individual owning the funds used for his or her health care and choosing both insurance and care from many available options. By providing more appropriate incentives and making care more affordable, greater individual ownership and more options should lead to fewer excess expenditures and to greater access to care for most people.