Modern Healthcare - - OPINION EDITORIALS - —Dr. Matt McCord in the Detroit News

“Gov­ern­ment man­dated health­care, 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. … Health­care 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 … and con­sumers … 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. … The ACA com­pounds this by ex­pand­ing this costly third-party ar­range­ment and giv­ing Amer­i­cans less choice for care. Amer­i­cans should de­mand en­tirely dif­fer­ent health­care re­form that is sus­tain­able and solves not only the in­sur­ance prob­lem but also our cost and ac­cess prob­lems. A bet­ter whole so­lu­tion would be a con­sumer-driven model as de­scribed by Regina Her­zlinger of the Har­vard Busi­ness School: Give Amer­i­can con­sumers con­trol of their health­care spend­ing like tax-free health sav­ings ac­counts, min­i­mize the third-party mid­dle­men and make health­care more re­tail. In­crease mar­ket trans­parency and give con­sumers greater choices. Let doc­tors and hos­pi­tals com­pete for your care and trust.”

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