Is the Affordable Care Act too complicated?

Alain Enthoven • JANUARY 13, 2015

Alain Enthoven, formerly of Stanford, offers his views on the Affordable Care Act (ACA). According to Enthoven, the idea of accountable care is potentially an important step in the right direction, as it could lead to a more integrated system of healthcare delivery, but he does not believe that the incentives are strong enough to make it happen. Enthoven calls the ACA "bewilderingly complex" and argues that the medical device tax can be justly criticized as being anti-innovation. Enthoven says we ought to be able to achieve universal health insurance, but that the ACA represents "serious overreach."

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