The Affordable Care Act is a disaster. Americans have lost the freedom of individual choice. Healthcare costs rise unchecked, taking advantage of the opacity of our current reimbursement and insurance systems. Electronic health records are easy prey for hackers, exposing our personal information to the world. Doctors and nurses spend more time with computers than with patients. Patients are forced to switch to new doctors despite guarantees to the contrary. Plans to decrease Emergency Room visits have had no meaningful impact, and fees from these visits increase. Healthcare innovation is stifled by cumbersome rules and complex regulations. Medical research has suffered. Fraud robs us of billions of dollars each year.

The Affordable Care Act is killing our nation. Timid action will not cure this disease ridden system, and the ACA should be treated as aggressively as we would treat any life-threatening disease. The repeal of the individual mandate is not enough. The ACA must be excised entirely and replaced with a better plan. The healthcare plans offered as alternatives to the ACA are not the plans we deserve – we need better.  This means we should not have a single payer system. A single-payer system will destroy innovation, eliminate choice, and rob patients of individual choice.

We need a need a new healthcare system that demands transparency while promoting competition and patient freedom of choice. Under my plan, patients, physicians, pharmacies, and hospitals will finally speak plainly about the real cost of healthcare. The real culprit in our healthcare system failures, the prices we pay for care, will no longer need to be bloated to provide for the personnel required to navigate the impenetrable payment nightmare.  No longer will we need to have a dozen or more non-clinical persons for every physician. Because patients will have accurate pricing data available to them, they can make informed decisions about their care. Patients will once again have the power of choice.

With knowledge and freedom of choice, the balance of power will shift back to the patient, where it belongs. But let us not forget, doctors will benefit by having more time to focus on patients rather than computer screens. This reengagement with patients will lead to better care. No longer will hospitals and physicians require an expensive army of personnel devoted to dealing with insurance companies, so they may charge less, and take home more. Innovators will be freed from onerous taxes, fueling innovation. Device companies may innovate without fear that every innovation will add to a crippling tax burden. Less red tape makes for a leaner healthcare system, streamlining the bloated administrative side of medicine and slashing costs.

Under my plan, the prognosis is a healthier America at a lower, sustainable cost with market competition. The cornerstone of a superior healthcare system, the doctor-patient relationship, will be front and center again. It all begins with truth, transparency, and competition.