Americans have delivered the same message in the last two elections: make life affordable again.
They are tired of working harder for less, while the cost of everything — from housing to education to insurance — keeps rising. The affordability crisis touches every household, and its biggest driver is the one Washington refuses to tackle seriously: healthcare.
Healthcare now consumes nearly one-fifth of our economy. It is the largest single cost for employers, the fastest-growing burden on families, and the quietest drain on national growth. Every dollar businesses spend on bloated health costs is a dollar not available for higher wages, new jobs or investment. Every dollar families spend on premiums or out-of-pocket costs is a dollar they can’t use for savings, housing or opportunity. Until we fix healthcare, we can’t fix affordability.
It’s not that Washington ignores healthcare — it’s that it thinks about it too narrowly. Politicians obsess over temporary subsidies, tax credits and program expansions that make insurance more expensive to subsidize but never make care itself more affordable. The current fight over extending COVID-era insurance subsidies is a perfect example. Even supporters of Obamacare now admit that the ‘Affordable’ Care Act turned out to be unaffordable. Their answer is to borrow more money to prop up a system that keeps getting worse. That is not reform — it’s surrender.
There are three truths both parties must face.
First, the system is already too expensive and locked in a pattern that guarantees it will grow more unaffordable every year.
Second, 60 years of bureaucratic control — public and private — have utterly failed to contain costs.
Third, we must build a new model that relies on patients, doctors and employers — not massive government and insurance-company bureaucracies — to achieve the change Americans want.
