Posted on November 3, 2017 | By Bladen Journal
Future of free-market health reforms uncertain, experts say News
By Dan Way – Carolina Journal
Katherine Restrepo, director of health care policy at the John Locke Foundation, says Trump’s executive order could allow states more flexibility. She said Medicaid expansion fails to address the health care system’s chronic issue: lack of price transparency. “When there’s no price transparency, patients are not empowered to keep health care suppliers and providers honest about the actual cost of health care supplies, [and] medications,” Restrepo said. If consumers knew how much health care cost they would spend money more wisely, and fewer would need to rely on government programs like Medicaid. Instead of Medicaid expansion, the state could expand access with innovative health care delivery models including North Carolina’s free and charitable clinics — which get only 20 percent of their funding from government sources — and direct primary care. Those models have low overhead and do not accept insurance. Time and money not used to comply with insurance paperwork gives providers freedom to lower costs and spend more time with patients. “While insurance is important, it does not equate to accessible health care” because too often Obamacare plans’ premiums, co-pays, and deductibles cost too much to use, Restrepo said. Lopez-Bauman said the Medicare for All concept would be a fiscal disaster for taxpayers unless patients had to pay much more out of pocket and more services were rationed.
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