July 15, 2019
Originally published in The Salt Lake Tribune.
The wave of recent federal activity on healthcare – some executive, some legislative, some partisan and some bipartisan – signals health care affordability might soon be addressed. In a world of extreme political division and nonsensical levels of polarization, this is a refreshing change of pace.
Finding consensus on policy can and should become the rule, not the exception.
One of the authors of this article represents a conservative Utah think tank that promotes healthcare policies grounded in free enterprise and community-driven solutions. The other represents an advocacy group seeking to advance sustainable healthcare solutions in Utah through policies that lead to increased access to coverage. We have a history of disagreeing on healthcare issues.
Yet, when our organizations met to talk about healthcare, we started simply trying to find common ground. Making healthcare more affordable quickly surfaced as something we agree on. After giving the conversation more time, we found that we had more in common, like relying on facts and evidence specific to Utah’s needs to achieve our goal.
Despite what national political narratives in the media continue to portray, we don’t have to agree on everything to find common ground and consensus on healthcare. Successful policies can – and often do – reflect a variety of political beliefs, and finding common ground is almost always possible. This is true even in healthcare, where finding consensus is difficult.
According to an Altarum survey of more than 1,000 adult Utahns:
- 53% of adults delayed or just did not go to a doctor last year for needed medical care
- 29% of adults did not fill a prescription, cut pills in half, or skipped a dose because of cost
- 85% of adults are worried about affording healthcare in the future
Like Utah Health Policy Project and Sutherland Institute, a majority of Utahns agree – in a bipartisan fashion – that helpful policy reforms for affordability include: (1) requiring insurers, hospitals and physicians to provide upfront cost estimates to patients, and (2) making it easier to switch insurers if a health plan drops your doctor.
Utahns, quite reasonably, would like healthcare to act like other areas of economic life. They want transparent prices that are visible up front to find the most affordable, highest-quality options. They want the freedom to conveniently go to a different clinic if cost or quality fails to meet their needs. Insurers, providers, pharmaceutical companies and hospitals perpetuate the problem of unaffordable healthcare when they prevent patients – intentionally or unintentionally – from seeing the cost of their medical care or continue to use contracts that favor doctors preferred by their interests instead of patients’ preferences.
We can do better.
Utah has healthcare stakeholders willing to innovate to make the healthcare market accessible to more people. Utah has a wealth of health system information, like an All Payer Claims Database, that contains most of the information needed to give patients a transparent look at their medical costs. Utah also has intelligent and committed state policymakers and insurers who are willing to pursue policy ideas, such as reference pricing, that can turn price information into a mechanism of significant improvement for health care affordability.
What Utah requires is the will to pursue common ground on health care affordability and find a consensus focused on the well-being of patients and their families. It is always possible to find common ground; Utah’s policy leaders should take the opportunity to do it now and help us ensure affordable healthcare in our communities.
A recent news story pointed out that President Joe Biden has begun his administration with a strong record for getting new federal judges confirmed. Since taking office, he has managed to secure the confirmation of eight federal judges, more than any president since Richard Nixon.
With vision, leadership and sufficient efforts on the ground, we can muster the political will to plant “the Utah way” in the hearts and minds of future generations.
So if a destructive CRT ban is at best a partial policy solution – which may ultimately prove ineffective – what are the alternative (or perhaps additional) policy options that leaders should consider?