Lanhee J. Chen is the David and Diane Steffy Research Fellow at the Hoover Institution and director of domestic policy studies and a lecturer in the Public Policy Program at Stanford University, in California.
Health Aff (Millwood). 2018 Dec;37(12):2076-2083. doi: 10.1377/hlthaff.2018.05119. Epub 2018 Nov 16.
The 2020 presidential election will be consequential for the future of health reform, with the two major-party nominees taking very different views on the future of the Affordable Care Act (ACA), as well as the policies needed to lower health costs and continue to expand access to coverage. The Republican nominee will likely signal broad opposition to the ACA and a desire to replace it with a state innovation-based approach to reform, based on the Graham-Cassidy-Heller-Johnson legislation considered by the Senate in the fall of 2017. This article takes that legislation as a starting point, contextualizes it within the broader health reform discussion, and suggests ways to improve upon it to enhance the affordability of and access to coverage and to ensure that states have adequate flexibility to implement their policy goals.
2020 年总统大选对医改的未来将产生重大影响，两大主要政党的候选人对《平价医疗法案》（ACA）的未来以及降低医疗成本和继续扩大保险覆盖范围所需的政策持截然不同的看法。共和党候选人可能会表示强烈反对 ACA，并希望用一种基于州创新的改革方法来取代它，这种方法基于 2017 年秋季参议院审议的《格雷厄姆-卡西迪-海勒-约翰逊法案》。本文以该法案为起点，将其置于更广泛的医改讨论背景下，并提出了一些改进建议，以提高保险的负担能力和可及性，并确保各州有足够的灵活性来实现其政策目标。
