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A Way Forward for Bipartisan Health Reform? Democrat and Republican State Legislator Priorities for the Goals of Health Policy
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A Way Forward for Bipartisan Health Reform? Democrat and Republican State Legislator Priorities for the Goals of Health Policy
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A Way Forward for Bipartisan Health Reform? Democrat and Republican State Legislator Priorities for the Goals of Health Policy
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Journal Article
A Way Forward for Bipartisan Health Reform? Democrat and Republican State Legislator Priorities for the Goals of Health Policy
2017
Overview
[...]roughly 50% of national legislators first served as state legislators; state legislator positions can be considered close proxies for those of Congress.3,4 THE SURVEY We worked with health policy experts who had experience of one or more of federal or state policymaking, federal or state policy analysis, and health care delivery organization. Assessing Policy Figure 1 reflects many of the goals of the ACA (Democrats) and proposals for its repeal (Republicans); a Democratic-only health reform prioritizes improved access and government-led efforts to improve health, whereas a Republican-only reform prioritizes reduced costs for individuals, limited government involvement, and reduced government spending. [...]policies to tackle costs must not have a negative impact on other goals important to each party-namely, improving health and smaller government. [...]given the seemingly inexorable upward trajectory in health care expenses, expectations for success must be modest. Encouragingly, existing bipartisan efforts at payment reform align well within such a framework, as they are intended to reduce costs while improving the delivery of health care services (and, ultimately, improving health).
