CENTER FOR COLLABORATIVE DEMOCRACY
LET'S MAKE
HEALTHCARE
MORE EFFECTIVE
& LESS COSTLY
By tackling healthcare alongside five other interconnected issues, we have the opportunity to make the system work for everyone.
We need your support to make a healthier, happier America for you and your family.
Endorse the Grand Bargain
I fully support the process of refining the Grand Bargain to reflect the will of the American people, and spurring the administration and Congress to embrace the result as the roadmap for our future.
By signing this endorsement, you accept the Grand Bargain Project Terms of Service and Privacy Policy and agree to receive occasional emails from us about our work.
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WHY HEALTHCARE -
The US spends 50 percent more on health care per capita than any other nation – 17 percent of GDP versus an average of 10 percent in other developed countries. Yet health outcomes in the US are measurably worse than in other developed countries. Life expectancy is trending downward. Competition among hospitals and insurance companies is shrinking, driving up prices for consumers. Drug companies are increasingly at odds with insurance companies and consumers, over equitable pricing and delivery systems.
The healthcare system is designed to manage illness, not improve health. The system — consisting of for-profit, non-profit, religious, municipal, tribal, state, civilian, military, federal and other providers — is also uniquely fragmented, overly complex, costly, inefficient, and confusing for patients and providers alike.
Fixing these problems with a complete system overhaul — or an entirely new business model — seems politically unfeasible and would entail major unintended consequences.
Instead, current federal programs — food and nutrition assistance, Medicare, Medicaid, the Affordable Care Act, etc. — can be levers for change.
The following proposals aim to shift the health care system’s incentives and practices from managing illness toward keeping people healthy and productive:
OUR CURRENT PROPOSALS
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Promote integrated approaches to overall health, especially in distressed areas, and support systems for lower-income populations to reduce health risks (see also economic policies for lower income workers above).
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Coordinate public education for healthier lifestyles and prevention, especially about obesity and nutrition, and increase funding for good nutrition through existing Federal programs.
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Expand free meals to low-income schools, including in the summer, to ensure that low-income children have access to nutritious foods.
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Use Federal and state regulatory authority to prevent excessive concentration of ownership of health care providers at local or regional level.
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Expand Federal and state support for health care provision in rural areas, where private health providers do not have adequate incentives to provide services.
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Continue to refine Medicare Advantage regulations, so that Medicare Advantage produces consistent cost savings over traditional Medicare for the government and participating seniors, while meeting standards of care.
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Continue to develop and support Accountable Care Organizations.
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Expand the use of Medicare drug price negotiations to manage the cost of pharmaceuticals.
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Significantly improve measurement of each Medicare plan’s health outcomes, so those failing to provide quality, cost-effective care are replaced by those meeting higher standards.
96% of Americans hunger for major changes in one or more of these six issues
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Boosting economic mobility, productivity, and growth
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Reforming education so students reach their potential
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Making Healthcare more effective and less costly
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Curbing the national debt
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More efficient, cleaner and reliable energy
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Making the tax code fairer and simpler
America’s biggest challenges aren’t partisan.
Rising costs, stagnant wages, an outdated tax code, a healthcare system that delivers poor outcomes at high prices - these issues affect all of us. Yet too often, the policies meant to address them are created in silos, ignoring how they interact with one another. The result?
A system that isn’t working for most Americans.
When policies conflict, families pay the price.
Housing becomes unaffordable while wages fail to keep up.
Healthcare costs climb while essential programs face budget shortfalls.
National debt balloons while economic mobility stalls.
The Grand Bargain Project exists to break this cycle.
We are tackling six key interconnected objectives - economic mobility, education, healthcare, clean energy, national debt, and tax reform - at the same time. We are thereby building a practical, common-sense roadmap so that all Americans, every family, and generations to come will thrive.
Our Story
Proof of Concept
Building a Movement
Expected Outcomes
To start, we integrated policy suggestions from 13 top former federal officials and think tank leaders. We sought feedback from key stakeholders on the six key issues and diverse citizens. The result: a 2,500-word Grand Bargain Framework
To facilitate nationwide dialogue, our Grand-Bargain-in-a-Box toolkit enables citizens to deliberate over the contents of the evolving plan — and will enable us to distill the results into a format that we will present to political leaders as representing the will of the America people.
A critical mass of Americans, influencers and stakeholders increasingly unite around the Grand Bargain, creating an exponentially growing movement to tackle our nation’s core challenges.
Read the 2,500-word Grand Bargain Framework
Engage with the Grand Bargain Project
Give Your Input
Welcome to a new kind of conversation where your views can shape the plan we present to lawmakers
Vote on other people's statements
Submit your own to be voted on and
See how your views compare to others
Host a Workshop
We are hosting participatory workshops across America to help shape the content of the Grand Bargain Project. The workshops address the six major issues that most Americans are eager to adopt.
Want to take part or host one?
In that process of joining together into a movement, people inevitably begin to experience their new allies’ humanity.
Sol Erdman, Founder
Grand Bargain Project
Endorse the Grand Bargain
I fully support the process of refining the Grand Bargain to reflect the will of the American people, and spurring the administration and Congress to embrace the result as the roadmap for our future.
By signing this endorsement, you accept the Grand Bargain Project Terms of Service and Privacy Policy and agree to receive occasional emails from us about our work.
You can unsubscribe at any time.
