Lamentando que la cámara de representantes de Estados Unidos haya aprobado este mamotreto (pdf), Arnold Kling sugiere como alternativa preferida una aproximación radical a la reforma sanitaria que debería satisfacer a todas las partes: permitir la nacionalización completa en un estado, y la desregulación completa en otro. Luego comparar resultados (aunque en Massachusetts ya probaron el esquema de la ley actual y no sirvió para reducir los costes).
The bill I would propose would be one that encourages experimentation at the state level. Offer to support an experiment that allows an individual state to adopt single-payer, while allowing another state to offer deregulated insurance and medical practice.
What is frustrating to me is that many people would agree that the Massachusetts health experiment failed, and yet that is the experiment that is being used as the model for the current bill. The original promise in Massachusetts was that by eliminating the "free-riding" of the uninsured and by setting up an efficient government insurance exchange, insurance costs would go down. Instead, insurance costs there soared.
