• Ann. Intern. Med. · Jun 2024

    Review

    A Blueprint for U.S. Health Insurance Reform.

    • Liran Einav and Amy Finkelstein.
    • Stanford University, Stanford, California (L.E.).
    • Ann. Intern. Med. 2024 Jun 1; 177 (6): 812816812-816.

    AbstractThe current U.S. health insurance "system" was not deliberately planned and constructed but has emerged piecemeal over the past half-century through a series of incremental and haphazard reforms. That policy history also reveals a clear but unfulfilled societal commitment to providing access to essential health care regardless of resources. To fulfill this obligation, the solution proposed in this article has 2 key elements: 1) universal coverage that is automatic, free, and basic, and 2) the option to buy supplemental coverage in a well-designed market. Such a system could, if desired, be created without raising taxes and without disrupting or changing the delivery of medical care.

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