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Top Down Versus Bottoms Up Health Reform

For decades, I have been an advocate of “market-oriented” health reform. Conservative ideas for such reform have been around for a similar period of time. Martin Feldstein, for example, introduced the idea of Major Risk Insurance in 1971! He later updated the idea in 1995 in a paper with Jonathan Gruber (who later became an important architect of both Romneycare and Obamacare).