Instead, reform solutions should focus on strategies to make health coverage as affordable as possible for employers of all sizes, and improve the individual insurance market, according to the report. Specifically, health coverage should become an individual obligation for all Americans, accompanied by income-based premium subsidies to make coverage affordable for lower-income individuals.
At a news conference, Paul Dennett, senior vice president for healthcare reform at the council, offered that a mechanism could be established to perhaps automatically enroll individuals who dont sign up for coverage, rather than relying on financial penalties. Klein said the group has already shared its ideas with President-elect Barack Obamas transition team, as well as members of Congress. The time for discussing broad principles has passed, Klein said. Lawmakers are already at work crafting legislation and answering the difficult questions that often accompany this type of reform. The goal of this report is to help lawmakers answer the difficult questions that will come up in crafting a new healthcare system, he said.