ON-Lion Letter

"Despite, and in a sense because of, the enactment of the Affordable Care Act (ACA) in 2010, US health care is still badly in need of reform and revitalization," begin James C. Capretta and Bradley Prize recipient Yuval Levin in their executive summary of December's Improving Health and Health Care:  An Agenda for Reform.  "Instead of more federal regulation and subsidies, what US health care needs is adoption of market principles, starting with broad empowerment of the patient-consumer."

Capretta is a senior fellow at the Ethics and Public Policy Center (EPPC) in Washington, D.C.  The Lynde and Harry Bradley Foundation in Milwaukee substantially supports his work there.  Levin is the Hertog Fellow at EPPC and founding editor of National Affairs, which the Bradley Foundation also supports.

Improving Health and Health Care was released by the American Enterprise Institute, which is substantially supported by Bradley, as well.  It is co-authored by Capretta, Levin, and eight others.

"The proposals advanced in this volume would replace many counterproductive and outdated federal policies with practical, market-based reforms that aim to provide all Americans with access to high-quality health care at affordable prices," Capretta and Levin continue.

"The starting point for renewing American health care must be replacement of the ACA with a genuine, consumer-driven approach to expanding health insurance coverage," according to their summary.

"Reform of Medicaid must start with changing how the federal government pays for its share of total cost," they write, and states should "be allowed to implement major changes in Medicaid support for the disabled and elderly without the need of prior federal approval."

Medicare "would improve if there were fewer regulations and more emphasis on market-based reforms," they continue.  "The starting point should be conversion of the program, on a prospective basis, to a premium support model."

And health savings accounts (HSAs) "should be a central component of health care in the United States," among other additional reforms.

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