Healthcare

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Libertarians are committed to pursuing health-care reforms that improve health outcomes while reducing costs.

As recently as the 1960s, low-cost health insurance was available to virtually everyone in America - including people with existing medical problems. Doctors made house calls. A hospital stay cost only a few days' pay. Charity hospitals were available to take care of families who could not afford to pay for healthcare.

Since then the federal government has increasingly intervened through Medicare, Medicaid, the HMO Act and tens of thousands of regulations on doctors, hospitals and health-insurance companies.

Today, more than 50 percent of all healthcare dollars are spent by the government.
We need to do a major rethink of healthcare policy in the United States and in Nevada if we are ever going to solve the problem of exploding health-care costs as well as draw on the strength of the free market.

We need to fight any further federalization of health-care policy. Federal policies are a major source of the pathologies in our health-care system. Federal laws increase many of the problems they were meant to address, they produce a host of new problems, and they render states powerless to fix anything. The Affordable Care Act is only moving us further in the wrong direction. Our experience with health care is proof that centralized planning by politicians and bureaucrats simply doesn't work.

Libertarians favor returning health-care regulation to the states. In addition to eliminating many of the laws, regulations, and tax rules that wreak havoc on the incentives faced by businesses and employees, we also need policy freedom at the state level with regard to public spending on health-care for the poor and elderly.

Let Nevada take care of Nevadans

We can succeed where federal programs have failed and achieve better health outcomes at much lower cost to taxpayers.

Federal laws and regulations undermine competition and innovation in the health-care industry. State governments cannot undo these counter-productive policies, and in fact add their own to further undermine a well-functioning health-care market, resulting in increased costs without improved health outcomes. Moreover, political control of health care ends up siphoning money into whatever is politically popular, rather than what is most beneficial. Mental health consistently gets the short end of the stick.

Bring the power back to the state.

Libertarians strongly advocate a return of health-care policy to the states, either directly, or through conversion of Medicaid into block grants to the states with policy freedom at the state level, or via waivers allowing Nevada to redesign our programs more intelligently.

Removing state-level barriers to health-care service provision.

As noted above, state governments often exacerbate the problems stemming from federal mis-regulation of health care. Nevada is no different. State-level regulations have numerous damaging effects that reduce the availability of services, increase costs, and decrease competition and innovation. The over-regulation and mis-regulation of health-care professionals via increasingly onerous licensing requirements, restrictions on what those professionals can do, and centralized planning of the use of medical resources all work to harm patients, especially those suffering from mental-health issues. We must revisit our state-level laws and regulations, not just focus on federal policy and implementation of the Affordable Care Act.

 

How Medicaid and Obamacare Hurt the Poor - And How to Fix Them


Curing the Healthcare Crisis