This is obviously correct on the fundamental problem in US health care. But the column elides the political reality that makes reforming it, I'm sorry to say, impossible. The problematic constituency isn't labor or business, it's hundreds of millions of Americans insured through their employers. They really like the generous plans they have, even if an alternative model would actually bring down costs and prices. Woe unto the pol who tries to shift them to a different insurance model, let alone one that actually requires out of pocket cash payments in lieu of premiums that most of these people aren't directly shelling out for (even if they understand at an intellectual level they are paying every month). An honest reformer would have to say: no, if you like your plan you probably won't be able to keep it, sorry. Good luck with that. It's absolutely necessary to meaningful reform of US health care, and also politically impossible. Happy Monday!
Today, the
@washingtonpost published my oped with former Baucus/Obama/Biden health advisor
@LizFowler_ on THE most important issue in health policy.