The United States is widely acknowledged to need health care reform. More than 47 million people without insurance is considered unacceptable by most people. Changes in the nature of the labor market have made employment-based health insurance less appropriate than it was when long-term employment with the same firm was usual. It provides job lock and reduces the competitiveness of U.S. firms. The proportion of the GDP devoted to health care is much higher than in other countries without better patient outcomes. A well-conceived reform plan could significantly lower ...