Could our politicians possibly look past the next election cycle and try this? Nah.

From Professor Volokh, this proposal on health care:

Serious Health Care Reform Proposal:

Let the Democrats put forward three different health care reform proposals. Let the Republicans put forward two different proposals. Find five states to volunteer. Each state adopts one of the proposals. Wait several years. See if any of these proposals worked out well, and if so, which one seems best, and why. Learn from this trial and error, and then pass a national health bill, instead of trying an untested, one-size fits all solution for 20% of the American economy


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7 responses to “Could our politicians possibly look past the next election cycle and try this? Nah.

  1. Anonymous

    It’s already been done…it’s called Medicaid and it’s a disaster.

  2. Arouet

    It sounds intelligent in theory. The problem is that the bad ideas will increase mortality in their test tube states—a permanent benchmark for the ones who die. We already have several decades of research in the pipeline–if we consider all the different models that have been tried in the US and elsewhere over the years. We aren’t lacking in test markets. We’re lacking in realism: you WILL sacrifice quality for broader access. No free lunch. Pick your poison.

  3. JimP

    It also assumes that our leader’s first aim is delivering the best medical care.

    Professor Volokh seems…credulous.

  4. Helsa Poppin

    Mass. has already tried one option – requiring people to buy insurance and subsidizing those who can’t afford it – and from what I’ve read it’s resulted in major problems in delivery of medical services.

    I do think that the states can serve as laboratories for the nation, but we must tread carefully. Different states have different demographic attributes and differences in the effectiveness of local government. Also, crossing state lines is easy, so if a state offers a radically different plan than other states, it could result in a major influx or outflow of residents that distort the results (i.e., a state can institute strict rationing of expensive services to keep costs down, knowing that patients who need these services can always move to another state).

  5. edgewater

    the proposal to use individual states as tests for programs before going ‘national’ has long been one of the strengths of the federal system. but lately, congress has developed the arrogance to decide all issues for all people and unwilling to wait to see what works and what does not work. it’s part of being so ideological. you want national health because it’s part of your DNA, and not because you think it would actually work. it’s an unfortunate development, a danger to our political fabric as the number of bad decisions will increase as will the costs of those bad decisions.