There is a great deal that is wrong in health care in this country, but a sizable part of what is wrong are the regulations attached--there are too many instances where regulation impedes effective care rather than facilitating it.
A conversation on health care reform should in fact be a discussion about reforming the regulations, not merely piling on one thousand pages of new regulations atop the status quo.
- A great many drugs do not (and should not) be restricted to prescription only. The default for any new medicine should be Over The Counter, with prescriptions restricted only to those medicines with narrow therapeutic ranges, inordinate side effects, or capacity for dependency.
- Insurance markets should encourage insurance companies to enter health care, not restrict or inhibit new market entrance.
- The tax advantages of health insurance should inure to individuals not to employees
- All drug trials and research should be fully published and freely accessible to the broader public; one of the many hidden scandals in health care is the number of prescription drugs that are no more efficacious than a placebo, or that have outsized side effects.
There are many ideas that could be put on the table, were there an honest debate over health care in the first place. The greatest failing of the majority party in Congress, bar none, on the health care debate is the conspicuous lack of intellectually honest debate; from the outset the presumption has been that they knew what was best for all--and are quite shocked when ordinary citizens take exception to that level of arrogance and high-handedness.