Chapter Two: What’s Wrong with the Affordable Care Act

Published: January 16, 2020

The American health care system is on an unsustainable path, characterized by government-dominated insurance that obscures prices and reduces competition. The Affordable Care Act doubled down on the wrong incentives, leading to further competition among insurers and fewer choices for consumers. Reducing health care costs comes from encouraging price competition.

Interested in attending the Hoover Institution Summer Policy Boot Camp, click here for more information.

Video Recorded: August 22, 2019

Discussion Questions:

  1. What are some misguided beliefs about the American health care system?
  2. What are the trade-offs to single payer health care systems?

Additional Resources:

  • Watch the Joint Economic Committee meeting with Scott Atlas, ““The Potential for Health Savings Accounts to Engage Patients and Bend the Health Care Cost Curve.” Available here.
  • For much more detail on Scott Atlas’ health care plan, read his book Restoring Quality Health Care: A Six-Point Plan for Comprehensive Reform at Lower Cost, available here.
  • Read Scott Atlas’ chapter “Transformational Health Care Reform” in Blueprint for America here.

Cast

Scott W. Atlas

Scott W. Atlas

Related

Congressional Testimony

Examining Healthcare Markets: Fraud And Competition

(23:52) Hoover Institution fellow Dr. Brian Miller testifies in front of the House Judiciary Subcommittee on the Administrative State, Regulatory Reform, and Antitrust in a hearing titled "Examining Healthcare Markets: Fraud and Competition."

September 14, 2026

Articles

For Medicare, Trust Fund Solvency Is The Wrong Number To Focus On

The more important budget issue is that almost half of Medicare’s spending is subsidized by taxpayers.

August 24, 2026

Podcasts

Can Palantir And AI Transform The UK For The Better?

Palantir UK chief Louis Mosley joins Secrets of Statecraft to discuss how the company’s technology is transforming warfare, healthcare, and policing.

August 25, 2026