The Universal Cure
By EZEKIEL J.
EMANUEL and VICTOR R. FUCHS
... What we need is a fair proposal that is simple, efficient and appealing to disparate constituencies. For more than
a decade, as members of the medical and economics communities, we have advocated such an alternative: universal health care
This would continue to be a decentralized system with existing health plans contracting with providers, but their insurance
would no longer be employment-based. ... Without costly insurance worries, companies could compete for workers by offering
higher wages and better working conditions.
A voucher system would also enable the government to end Medicaid and phase out Medicare. ...
...Vouchers hold the promise of securing wide support. Democrats have long favored the notion of universality, while Republicans
instinctively favor voucher plans and have longed for the demise of Medicare and Medicaid. Businesses want to stop providing
health insurance, and Americans want guaranteed health coverage with choice.
Ezekiel J. Emanuel, oncologist and bioethicist, is author of "No Margin, Nor Mission." Victor R. Fuchs, professor emeritus
of economics at Stanford, is author of "Who Shall Live?"