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The Ghost of Healthcare Future

Congress must recognize that an important distinction existsbetween the place of employment as the convenient place to obtaininsurance and making tax relief to families contingent uponemployer sponsorship of their health insurance.

The problems of America's health care system can best be addressedthrough market-based solutions. The evidence indicates that undernational health insurance, the promise of coverage becomes healthrationing, access to universal coverage means delays in access tocare, official fairness yields to favoritism by officials, freedomof choice becomes coerced conformity, and democratic deliberationis replaced by bureaucratic decision-making.

The best Medicaid policy would mainstream as many individuals andfamilies as possible into private coverage and encourageself-direction for those the Medicaid safety net was intended. Whenconsidering changes in the Medicaid program, federal and statepolicymakers should ensure fiscal control and improve the way thatlow-income individuals and families receive care.

Why modeling America's health care system on those of Canada andBritain would be a mistake.