American health policy is often judged by coverage, spending, and intentions rather than access, quality, and outcomes. From the collapse of trust after COVID to the performance of US healthcare and the case for market-based reform, the central question is how to improve care without sacrificing choice, innovation, or accountability.

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Scott W. Atlas

Scott W. Atlas

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The headline from the recently released 2026 Medicare Trustees Report was that the Medicare Health Insurance (HI) Trust Fund would exhaust its reserves in 2033—1 year before the Social Security trust funds were also projected to meet the same fate.

August 20, 2026