Lewin contact: John Sheils

In this paper the authors show that bold comprehensive reforms offering immediate coverage for all Americans are actually less expensive than incremental efforts to build upon the existing system. It is possible to cover all Americans without increasing national health spending and without rationing care. Costs can be reduced for American consumers in general and the federal government in particular under broad-based universal coverage reforms. To demonstrate this the paper compares the  cost of two comprehensive health reform plans -- the “Healthy Americans Act” developed by Senator’s Wyden and Bennett t and  a government-based approach that would cover all Americans under an expanded Medicare program -- to the cost of the incrementally-based health reform proposals introduced by President-elect Obama and Senator McCain in the 2008 presidential election.

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