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Dr. Jha's position is self-defeating. He concedes at the outset that a single-payer system is the best solution but dismisses the single-payer model as politically impossible. He then suggests a complex series of reforms that are no more politically feasible than establishing a single-payer system. Is it plausible that Republicans will abandon their free-market fundamentalism? Given that neither the best policy choice nor any of his suggested reforms are politically feasible, the only remaining alternative is defense of the ACA.
No competing interests
05 May 2017
Roger L. Albin
Professor of Neurology
University of Michigan
5023 BSRB, 109 Zina Pitcher Place, Ann Arbor, MI, 48109-2200