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Letters to health-care Santa: Federal exchanges

Thumbnail image for Rosenbaum.jpgOver the course of this week, I've asked health-care experts what they'd like Santa to add to the bill during conference committee, and publishing their responses on the blog. The final entry comes from Sara Rosenbaum, chair of the Department of Health Policy and Harold and Jane Hirsh Professor of Health Law and Policy at George Washington University. As a member of the Domestic Policy Council in the ’90s, Rosenbaum drafted the Clinton health-care bill.

My most fervent wish is for the conferees to agree to the federal exchange model.

Earlier in this series, Diane Archer called for Congress to create national exchanges rather than state exchanges, Alain Enthoven offered some ideas for how to fix the exchanges, David Cutler proposed a soda tax, Austin Frakt argued for competition in the Medicare Advantage program, Jacob Hacker broached letting the public sector help the private sector negotiate lower rates, George Halvorson tried to expand the exchanges to include providers of actual care rather than just insurance coverage, Henry Aaron wants the death panels back, Jon Gruber wants the House's definition of decent insurance coverage to prevail, Victor Fuchs would like to turn the exchanges over to Ron Wyden, Harold Pollack thinks it's time to cut the waiting period for the disabled, Matthew Holt wants to let our data free, Andy Stern urged people to strengthen the subsidies, and Gail Wilensky sought stronger payment reforms in Medicare.

By Ezra Klein  |  December 23, 2009; 6:27 PM ET
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