Opinion: How to fix the two-tier U.S. health payment system

Revamping how the U.S. pays for health care can be a powerful motivator that could be harnessed to promote health equity.

How the U.S. pays for health care is neither efficient nor fair.

Despite spending an astounding 20% of its economic output on health care, the U.S. ranks poorly among high-income countries in national health system performance. To make matters worse, the payment system for this care has ingrained systematic health inequities for historically marginalized groups like people of color and low-income Americans.

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