Mad About States
本文指出2017年共和党废除并替代《平价医疗法案》的努力中,将权力下放给各州是核心主题,但认为将各州视为最佳卫生政策制定者的理想化是一种需要打破的神话。
consistent theme in 2017 Republican Congressional efforts to repeal and replace the Affordable Care Act (ACA) was the intent to empower the 50 states to use federal funds to reengineer their Medicaid and individual health insurance markets as they see fit. If yet another Republican attempt at ACA repeal and replace happens in 2018, the most likely vehicle will be a reformulated Graham-Cassidy bill, the final 2017 repeal effort in the US Senate that featured far-reaching devolution to states. The idealization of states as the best makers of health policy is a myth worth busting.