N AT I O N A L C E N T E R F O R P O L I C Y A N A LY S I S
Ten Steps to Better Health Care Reform
I. Establish Equality Under the Law
1. Every Medicare enrollee treated the same
2. Every Medicaid enrollee treated the same
3. Every taxpayer treated the same
II. Repeal Individual and Employer Mandates
1. Replace with a fair and efficient system of economic incentives
2. All insurance receives the same subsidy — regardless of where it is purchased
3. Every individual receives the same subsidy — regardless of how insurance is obtained
III. Give Seniors Some of the Same Opportunities Young People Have
1. Give all seniors access to Medicare Advantage plans
2. Make it easier for seniors to remain in their previous employer’s plan
3. Give seniors access to Health Savings Accounts
4. Allow Medicare providers to implement cost-reducing, quality-improving changes
IV. Allow Health Insurance to be Sold Across State Lines
V. Encourage Personal and Portable Insurance
VI. Allow Private Insurance Alternatives to Medicaid and S-CHIP
VII. Allow Special Health Savings Accounts for the Chronically Ill
VIII. Allow Health Insurance Plans to Specialize in Solving the Problems of the
Chronically Ill
IX. Allow Employers and Their Employees to Prefund Post-Retirement Health Care
X. Enact Sensible Malpractice Reform
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