Amy Finkelstein · Portfolio · 2023
Few of us need convincing that the American health insurance system needs reform. But many existing proposals miss the point, focusing on expanding one relatively successful piece of the system or building in piecemeal additions. As Finkelstein and Einav point out, our health care system was never deliberately designed, but rather pieced together to deal with issues as they became politically relevant. The result is a sprawling, arbitrary, and inadequate mess that has left 30 million Americans without formal insurance. It's time, the authors argue, to tear it all down and rebuild, sensibly and deliberately.