The individual states, not the federal government, should be (and already are) spearheading health care reform. The needs and the means of the people are vastly different from state to state and the federal government can’t possibly know what each of those unique needs is, nor how to address each one.
Several states have already begun such social experiments. Massachusetts for example, has a state-wide program. Illinois has a plan to insure all Illinois children. California is also working towards universal health care.
The tenth amendment states:
The powers not delegated to the United States by the Constitution, nor prohibited by it to the States, are reserved to the States repectively, or the people.
There is nothing in the Constitution giving the Federal Government powers over health care. The solution, therefore, isn’t a federal government takeover or revamp of health care. The solution looks more like less federal government. Among other options, the following should be explored;
- Increase competition by removing restrictions on interstate competition among insurance companies
- Aggressively target and eliminate fraud, waste, and abuse in the existing system
- Reform Medicaid/Medicare, both of which underpay health care providers, which in turn pass the balance on to private payers (insurance companies and individuals)
- Tort reform
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