Patients would pay 50% of every medical bill out of their own pockets, subject to a limit: 25% of family income above the poverty level. Government would pay the other half. Although the author doesn’t say it, the government today is paying for almost half the cost of private health insurance through the tax system, so this would not be a huge departure from the current way care is paid for now. Plus, there is this:
The features of this program that promote a more competitive free-market among health care providers include: (1) no restrictions upon people’s choices of doctors and other health care providers; (2) no restrictions upon what proven health care is prescribed; (3) no restrictions upon what providers charge; (4) no restrictions upon how much providers are to be reimbursed for what they charge, except for care not subject to the normal constrains of supply and demand; (5) no restrictions upon entry into the medical profession, except as is necessary for quality control; (6) a large co-payment that motivate people to be prudent health care shoppers; and (7) transparency regulations that enable people to be prudent health care shoppers. This is not a program of national health care; it is a program of national health insurance only.
What do you think, folks? An improvement over what we have today? Post at the Health Affairs Blog.