Carolyn McClanahan

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A doctor with a patient at a community clinic in Maryland. Credit Andrew Harrer/Bloomberg

First came the Affordable Care Act, then the American Health Care Act — time and again, politicians talk about controlling health care costs but end up missing the point.

Based on the historical rate of inflation, health care spending could consume nearly 50 percent of gross domestic product in 30 years — an unsustainable trend that can’t be solved through changing the insurance landscape.

The A.C.A., or Obamacare, focused on expanding coverage, with very little to address cost of care in the early stages. That was a fatal flaw: Voters saw already expensive health care costs rise and were unhappy being forced into the system.…  Seguir leyendo »