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Quality Access and Choice

Threats to Quality, Accessible Health Care Options

The health care reform law was ultimately pieced together by government officials—not frontline providers. As a result, we are facing a new health care system that compromises quality, accessibility, and market-based options. Key problems include:

  • Mandates Over Outcomes—Individual doctors, group practices, and hospitals all face new, costly bureaucratic and technological requirements. Instead, reform should emphasize real health care outcomes. Mandating a single technology or system will reduce flexibility, slow innovation, reduce competition, and drive up costs.
  • Challenges to Health Care Professionals—Many Americans—including policymakers—have a mistaken view of doctors and other health professionals. Physicians often have very high costs, work long hours, and carry debt from medical school. We cannot improve medical care by making medicine a less attractive profession and forcing doctors to see more patients.
  • Undermining the Value of the Free Market—On many counts, the U.S. has the most advanced medical care in the world. We have the largest public and private medical research infrastructure. In many parts of the country, patients can be treated by board-certified specialists virtually around the clock. By undermining the private-sector marketplace, health care reform could greatly limit the range of medical expertise and treatment.

Though there is significant room for improvement in American health care, we do not need a health care reform law that undermines what we value most—the quality of our care and the ability to choose the care best suited to our needs. The goal of extending health care to all Americans is admirable, but we must ensure that this goal is not pursued with regressive, overreaching government mandates, rules, and new taxes.


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