HealthLawProf Blog

Editor: Katharine Van Tassel
Concordia University School of Law

Saturday, September 17, 2005

New Book on Health Care Competition

In September, the Cato Institute will release the book Healthy Competition: What’s Holding Back Health Care and How to Free It

The authors are:  Michael F. Cannon, Cato’s director of health policy studies, and Michael D. Tanner, Cato’s director of health and welfare studies, explain how market competition makes products of ever-increasing quality available to an ever-increasing number of consumers. 

According to the press release about the book: 

They demonstrate how market competition can do the same for medical care and health insurance. The authors even show how encouraging competition can lower the cost of public health programs and improve government regulation of health care. 

 Cannon and Tanner recommend spurring greater competition in the private sector by expanding health savings accounts (HSAs).  The authors propose creating “large HSAs” that would give workers control over all their health benefits, rather than just a portion as HSAs now do.

The authors offer advice to Congress, the states and the new Medicaid Advisory Commission (a panel created by Congress) on reforming that program.  They argue that Congress should reform Medicaid as it reformed the old AFDC cash-assistance program: cap federal funding and give states broad flexibility to reduce dependence.  At the same time, states should encourage private competition by returning their Medicaid programs to their original mission of providing medical care to the truly needy.

The book explores Medicare’s enormous unfunded liabilities – which are six times those of Social Security – and argues allowing today’s workers to save a portion of their Medicare taxes in a personal account.  The authors argue this would encourage competition and “minimize the cost of meeting existing Medicare obligations.”


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