While the national health insurance exchange advocated by President Obama and congressional leaders is sometimes described as a nationwide pool of health insurance providers, its major functionwould be to provide a platform for a government-run public healthplan. The result would be a massive erosion of private healthinsurance and consolidation of federal control of the financing anddelivery of medical services.
President Obama's proposed Institute for Comparative Effectivenesswould mean more government control of private medical decisions. Itis clear from the British experience and other internationalexamples that a comparative effectiveness strategy that relies oncentral planning and coercion would be counterproductive and wouldlead to cost constraints that could worsen patients' medicalconditions and damage the quality of their lives.
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