Center for Social Innovation

The author asserts that one of the main contributors to the unsustainable health expenditure increases is the lack of competition and individual choice of health plans among employed insured U.S. citizens. He enumerates how group practice-based health maintenance organizations (HMOs) provide high-quality care at low cost. He suggests that the U.S. must open its health insurance market to competition. He cites a proposal by U.S. Sens. Ron Wyden and Bob Bennett similar to the universal health insurance introduced by the Dutch in 2006.