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There are common-sense ideas that provide access for all to quality care. We should allow consumers to shop for insurance that affordably meets their needs, regardless of whether the policy is sold inside their own state. (This is not possible in the current system). Health reforms should allow us, rather than politicians, to choose the health care options we want and need.
Better care for those who need it most is possible. We can reform Medicaid to provide better care for people in need, all the while helping states afford the program. Florida, Rhode Island, and Washington are the first states to experiment with steps toward Medicaid reform. Medicaid should provide higher quality care as a transition program, not a life sentence.
We can also make it easier for doctors to provide true charity care as an alternative to Medicaid. A system that works should remove barriers and offer incentives for health care professionals to provide free care for the poor.
The sick, including those with pre-existing conditions, are the most in need of affordable care and access to quality medical professionals. We can reform state subsidized high-risk pools to provide access to quality health care for the uninsurable, while still saving taxpayer dollars. Maine and Idaho have pilot projects worth examining that help those with pre-existing conditions.
We also need to make the system work for health care providers to allow more options for all Americans. It just makes sense to allow medical professionals to practice without undue hurdles that increase cost but not quality.
For 70 years, Congress has been passing laws to “fix” health care. Instead they have compounded the problems. Then they passed new laws to remedy their previous fixes. We need the federal government’s cooperation to reform health care, but it’s to devolve the power back to people, health care providers, and the states they live in.
States should delay decisions to implement the state-level aspects of ObamaCare until 2013 at the earliest and push back against the Medicaid expansion as the Supreme Court has made clear they can.