Over the past half-century, the federal government and other
institutions have increasingly taken control of every American's
health care. It is time to restore that control to individuals and
families, both as patients and as consumers. This will require a
uniquely American solution to our health care crisis--a solution
that can and should arise from the states.
States have a crucial role in ensuring that every American has
the opportunity and the ability to choose the health insurance and
medical care that offers the best value for their health care
dollars. For too long, key health care decisions have been made for
patients by someone else, often employers or the government. Too
often, this has meant that the interests of others are given
priority over the needs of patients. It is only when individuals
and families are able to choose for themselves among competing
private insurance plans that health insurers and health care
providers will have the right incentives to provide patients with
better products and better results at better prices.
An essential characteristic of American health care reform must
be that any reform respects the diversity and autonomy of the
states. Significant variations exist among states, not only in
geography and demographics, but also in how their health insurance
markets and medical delivery systems are organized and financed.
The states must be permitted to retain and exercise their authority
to customize solutions to meet their citizens' particular
circumstances and needs.
Download the State Health Care Reform booklet