Voluntary Health Reform

There’s a continuum of alternative market-oriented approaches to expanding health insurance coverage while also introducing system reforms designed to improve value for money in health care. These approaches are listed in approximate order of their impact on the number of uninsured and degree of government involvement in perfecting health insurance or health services markets. While all approaches are intended to reduce the costs of health insurance, thereby expanding coverage, the latter four includes features designed to achieve universal health coverage.

  1. Individual Pay or Play proposed by John Goodman.
  2. Standard Tax Deductions proposed by the Bush administration in 2007.
  3. Fixed Tax Credits proposed in the Every American Insured Health Act introduced by Senator Richard Burr in July 2007.
  4. Voluntary Income-Related Tax Credits proposed by Mark Pauly and John Hoff in Responsible Tax Credits and endorsed by the American Medical Association.
  5. Health Insurance Exchanges proposed by Sara Singer, Alan Garber and Alain Enthoven.

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