Isn’t it better to push for small, incremental reforms rather than attempting the bigger jump to universal coverage?
Incremental reforms don’t get to the roots of the health care crisis in the US. Our current system is based on employment rather than entitlement. Access to quality health care for all, under this system, isn’t seen as a right. It’s something that depends on the profitability of employers as well as their good will. With a highly mobile workforce, and with many employers failing to provide health insurance, let alone adequate health insurance, this system simply doesn’t make sense. The one partial program we do have that treats health care as a right is Medicare and it’s the sort of model that could be extended to all Americans. Medicare is an essential part of our nation’s Social Security system. With incremental changes alone, we’ll still be left with the instabilities and inadequacies of means-tested and employer-based programs and with the most expensive health care system in the world, a system that fails to provide quality health care for everyone. Incremental reform has taken th
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