The authors propose what they call "Competitive Federalism" that would allow for a federal partnership, but permit states to fashion their own approach to health care based on their individual circumstances. Refundable tax credits, high-risk pools and Medicaid reform are among the specific recommendations for maintaining the high quality of health care America now enjoys while providing coverage and reducing costs for people whose access to care is now limited and for those now paying the bills.
Along with the bipartisan Medicare reform plan developed last year by Rep. Ron Wyden (D-OR) and Paul Ryan (R-Wis), which was dismissed by supporters of the status quo who prefer the issue to a solution, these are serious and doable proposals that deserve congressional consideration.
As Pioneer Institute Executive Director Jim Stergios writes, "Despite years of effort and mountains of regulations, the federal government has proven incapable of screening for quality (health care), and acting on that information. It is time for states and the federal government to hit the reset button."
The Supreme Court might give them that opportunity. We should know by June how the likely slim majority will rule. Much of our future depends on the Court's decision because it goes to the heart of what the government can be allowed to impose on a free people.
If the high court doesn't invalidate the individual mandate, there will be no stopping government from threatening our most valuable possession: liberty.