cost sharing

The ACA focuses on expanding coverage through a massive redistribution of wealth in the amount of $1.2 trillion over the next decade. It’s clear that low-income individuals and those with chronic conditions benefit the most from the law’s sliding scale subsidies, but market-oriented tactics can make health insurance (and more importantly medical care) more accessible and affordable and can lessen the risk for insurers to experience adverse selection.

Medicaid’s fundamental flaws stem from the way in which it is funded, as both state and federal government share the total bill. If Medicaid’s federal share was transferred to North Carolina as an annual block grant, it would allow lawmakers to exercise more control over the program and create a stronger incentive to sort out system waste and abuse.