Avik Roy of the Manhattan Institute examines the fiscal state of healthcare in the United States and argues for a new approach to health policy that, according to him, is fiscally responsible. Roy argues that repealing the Affordable Care Act would not actually change our situation very much because it is Medicare that is the principal driver of high health expenditures in the United States. To fix healthcare, Roy advocates deregulating the ACA exchanges, raising the eligibility age for Medicare, and consumerizing Medicaid. With those changes, and some others, Roy argues, it is possible to achieve both fiscal responsibility and near-universal insurance coverage.
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