Citation

Chen LJ. Health Aff. (Hope) 2018; 37(12): 2076-2083.

Affiliation

Lanhee J. Chen is the David and Diane Steffy Research Fellow at the Hoover Institution and director of domestic policy studies and a lecturer in the Public Policy Program at Stanford University, in California.

Copyright

(Copyright © 2018, Project HOPE - The People-to-People Health Foundation)

DOI

10.1377/hlthaff.2018.05119

PMID

30444425

Abstract

The 2020 presidential election will be consequential for the future of health reform, with the two major-party nominees taking very different views on the future of the Affordable Care Act (ACA), as well as the policies needed to lower health costs and continue to expand access to coverage. The Republican nominee will likely signal broad opposition to the ACA and a desire to replace it with a state innovation-based approach to reform, based on the Graham-Cassidy-Heller-Johnson legislation considered by the Senate in the fall of 2017. This article takes that legislation as a starting point, contextualizes it within the broader health reform discussion, and suggests ways to improve upon it to enhance the affordability of and access to coverage and to ensure that states have adequate flexibility to implement their policy goals.

Language: en