Our health care system is a complex system. As I explained in Priceless, there is no known, reliable model of how it works. Whatever policy changes we make, there are certain to be unintended consequences and they may make matters worse than when we started. So how should we approach health policy?
In an article in the Journal of Legal Medicine, I argued that before we try to solve social problems in health care we should first make sure that government is not the cause of the very problems we are trying to solve. How do we do that? By identifying the major ways in which government policies create harmful, perverse incentives and then replacing them with neutral (do no harm) policies. Once we have removed the perverse incentives government has created, we will be in a position to see if there are any remaining problems that need to be solved.
What are the harmful policies that need to be neutralized? They are policies that affect ten key choices that must be made by everyone:
|John C. Goodman is a Senior Fellow at the Independent Institute, President of the Goodman Institute for Public Policy Research, and author of the widely acclaimed Independent books, A Better Choice: Healthcare Solutions for America, and the award-winning, Priceless: Curing the Healthcare Crisis. The Wall Street Journal and the National Journal, among other media, have called him the Father of Health Savings Accounts.|
Obamacare remains highly controversial and faces ongoing legal and political challenges. Polls show that by a large margin Americans remain opposed to the healthcare law and seek to repeal and replace it. However, the question is: Replace it with what?