Healthcare: Restoring Freedom, Competition, and Common Sense

Healthcare in America costs more than anywhere else on earth. This is a big reason why most people worry about getting sick or losing coverage. It isn’t because our doctors aren’t good at what they do, it’s because the system has stopped being about care. Instead, it’s become a maze of paperwork, monopolies, and middlemen who profit every time prices go up.

As someone who’s seen big bureaucracies from the inside, I can tell you that when too many people make money off of inefficiency, reform becomes a threat. But the truth is simple: we don’t need more control from Washington or more power for insurance companies. We need freedom, transparency, and real competition.

What’s Gone Wrong

1. It’s not real insurance anymore. Insurance is supposed to protect you from major, unexpected expenses. Instead, it’s turned into a pre-payment system for every routine visit and lab test. That’s why premiums climb every year while coverage shrinks.

2. Consolidation killed competition. Hospital chains and insurance giants have swallowed up smaller players. Doctors who want to open their own facilities are blocked by federal bans on physician-owned hospitals and state “certificate of need” laws that require permission from competitors just to operate. Fewer choices always mean higher prices.

3. Your healthcare is tied to your job. If you lose your job, you lose your coverage. That system traps workers, punishes small businesses, and keeps people dependent on large employers. Healthcare should follow the person, not the payroll.

4. Government red tape keeps innovation out. Washington has spent decades layering on mandates and special carve-outs for powerful interests. The result is predictable: a handful of corporations write the rules and everyone else pays the bill.

Practical Reforms

Open competition across state lines. Let insurers compete nationally so families and businesses can shop for plans that fit their needs instead of being stuck with whatever the local cartel offers.

Transparent, advertised pricing. You should know what something costs before you buy it. That’s true at the grocery store and it should be true at the doctor’s office. When prices are public, costs come down.

End “site of service” payment tricks. A blood test or scan shouldn’t cost double just because it’s performed in a hospital instead of a clinic. Equal pay for equal service.

Lift the ban on physician-owned hospitals. Doctors should be free to build facilities that compete on quality and efficiency. When physicians run hospitals, patients win.

Untie healthcare from employment. End the large-employer insurance mandates and let coverage be portable. Something you carry with you, not something your boss controls.

Scrap certificate-of-need laws and other market barriers. Stop forcing new providers to ask permission from existing ones. Let competition and patient choice decide who succeeds.

Encourage Direct Primary Care and similar models. For a simple monthly fee, patients get unlimited access to their doctor without insurance middlemen. It’s transparent, predictable, and built on trust, the way medicine used to be.

The Moral and Economic Case

Healthcare should be a relationship, not a racket. Every dollar wasted on bureaucracy or lobbying is a dollar that doesn’t go to care. Opening the market restores accountability: providers earn trust, patients regain control, and prices start to make sense again.

This isn’t about left or right. It’s about fairness and freedom. When people can see prices, choose providers, and take their coverage with them, they make smarter decisions and that forces the entire system to serve them better.

The Goal

We don’t need to reinvent medicine; we just need to free it. Let doctors practice, let patients choose, and let honest competition drive costs down.

Healthcare should serve people, not paperwork. And the sooner we get government and corporate monopolies out of the way, the sooner Americans can afford to be healthy again.