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Four Steps to Better Health: Read (& Buy) this Book, Reveal that Law, Fix What’s Broken, Let Us Choose What Works. Tom Miller American Enterprise Institute “Why ObamaCare Is Wrong for America” Book Forum on the Hill March 29, 2011. Book ‘ Em , Danno (the most serious charges):
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Four Steps to Better Health:Read (& Buy) this Book, Reveal that Law, Fix What’s Broken, Let Us Choose What Works Tom Miller American Enterprise Institute “Why ObamaCare Is Wrong for America” Book Forum on the Hill March 29, 2011
Book ‘Em, Danno (the most serious charges): Latest unaffordable entitlement (higher costs, more dependency) Financed by higher taxes, more borrowing, coercive mandates Unaccountable, unpredictable, unworkable regulation Centralization , politicization, & regulatory chokeholds Real-time redistribution? PoliticalPriceline.com Doubling down on past policy mistakes Disincentives (work less, hire fewer, grow slower, pay lower) Promises are made to be broken Time-release toxins, dampen disruption ‘til reality bites later Made in Washington, unsold in America ObamaCare Oh-No
Numbers don’t add up Wires can’t connect Stress test, overloaded circuits Inside job: co-opt, consolidate, comply Outside job: distort, (re)distribute, distract, demonize, delay Winning ugly … keeps looking coyote ugly later This party’s over, before it started Don’t expect future answers from past failures What We Know
When it ends (how many more unhappy anniversaries) What is left (we know what’s right) Where the meltdown fallout zone reaches (beyond the containment chamber) How much it will cost Why we let it get this far What real choice and competition in HC markets looks like (yet) What We Don’t Know
More market signals on the margin Stop chasing runaway trains with slower growing tax dollars Bypass third parties, empower & enable patients Information & incentives, choice & competition Retarget subsidies (risk & income) Accountability, responsibility, sustainability Promise less, perform more Work, save, invest, inform, choose, assist Where We Need to Go
Defined contribution (all taxpayer subsidies) Continuous coverage incentives (pre-ex, portability) Protect the most vulnerable (HRPs) Break down artificial barriers (competitive federalism) Decentralized, customized, dynamic solutions Somewhere to go, something to know, someone to trust Get beyond insurance financing and coverage (health, delivery) Respect limits and differences Search for value (all-in costs vs. outcomes) Don’t look for many answers here A Short Policy Shopping List