3. Cap federal health-care spending
Washington should strengthen the Affordable Care Act provision that calls for the growth of Medicare spending per capita to be no faster than the growth of GDP plus 1 percent. As part of the push to curb health-care spending, lawmakers should also redouble efforts to improve the delivery of care so that Americans get better value for their health-care dollars.
They might call for a value-added or national sales tax earmarked for health care if the cap on federal spending is exceeded at the end of the decade. In the end America can only have the health care it is willing to pay for.