U.S. Health Care Policy

The U.S. health care system is in flux. The Patient Protection and Affordable Care Act (ACA), enacted in 2010, remains in force. But from its inception, the law has faced strong opposition.

Congress must decide whether to eliminate the ACA and replace it with a different system, or change the ACA to meet different political goals. Extensive RAND research offers insights about the likely impact of repealing or revising the ACA along key dimensions, including Medicaid, the individual mandate, effects on employers, tax subsidies, changing rate regulations, and essential health benefits. We have also explored effects of alternatives to the ACA, including a single payer system.

In a recent analysis, a health policy expert steps back to consider what the basic ingredients are for health care reform.

Read More About U.S. Health Care Policy Browse RAND Analyses of Health Care Legislation, Policies, and Proposals
  • Supporters of a "Medicare for All" plan gather on Capitol Hill in Washington, D.C., September 13, 2017, photo by Yuri Gripas/Reuters

    Report

    Apr 10, 2019

    Spending Estimates Under Medicare for All

    Under a Medicare for All plan similar to some proposals being discussed in Congress, total health expenditures would be an estimated 1.8 percent higher in 2019, relative to the status quo. While this is a small change in national spending, the federal government's health spending would increase substantially, rising by an estimated 221 percent.

What's Hot Now