Advocates of regulating medical-care costs contend that reliance on market competition would leave too many people without secure insurance. The implication is that only Medicare for All, or something similar, can provide adequate protection for the public. That is not true, but market advocates must demonstrate that security and consumer choice are compatible by embracing practical reforms.
Disruptive change is not necessary to improve insurance take-up because most of the uninsured already qualify for discounted premiums or free coverage. According to the Congressional Budget Office (CBO), two-thirds of the 30 million uninsured in 2019 were eligible for enrollment into subsidized plans.
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