Public Health and Healthcare Policy: Critical Developments Ahead

As Congress debates extending Affordable Care Act subsidies, economist Craig Garthwaite from Northwestern University's Kellogg School of Management presents a new study titled "Coverage Isn't Care." Garthwaite argues that the healthcare debate should focus on making healthcare more affordable and efficient rather than merely shifting costs between individuals and the government.

His paper outlines structural reforms aimed at increasing the supply of healthcare providers, such as easing restrictions on foreign-trained doctors and allowing nurse practitioners and physician assistants to practice independently.

Garthwaite suggests that increasing access to medical services for low-income Americans could lead to better care and lower costs overall. He emphasizes that the biggest issue for low-income individuals is not the quality of care but their ability to find care at all.

Garthwaite notes that many of these reforms can be implemented at the state level, leveraging existing Medicaid frameworks. He concludes that addressing the root issues in the healthcare system could significantly reduce costs and enhance access to necessary care for more people.

The discussion comes at a critical time, as millions are facing rising premiums if subsidies are not extended, showcasing the urgent need for a focus on healthcare access rather than just coverage.