The debate on the future structure of the U.S. health care system has centered on the Affordable Care Act and legislation which would repeal and/or significantly alter ACA provisions.
However, given its complexity and the differences of opinion, the basic discussion as to how the U.S. health care system should be structured has been going on for the past half-century or more.
Many of the core issues that have applied to these past discussions still remain relevant today:
Access versus affordability
Some of the recently proposed health care legislation claims to offer access to health care for everybody. This access may include high deductible insurance policies, tax credits and competing insurance markets. There have also been efforts to incentivize doctors and other health care providers to provide access for persons in rural and poor regions.
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