Republican Governors Public Policy Committee (RGPPC) Health Care Reform Principles


1. Health Care Reform Should Emphasize Health: Health and well-being is determined by more than health services used. Employment, education and personal choices strongly influence the overall health of each American. Unfortunately, the health care law undermines employment and limits personal choice. Meaningful reform should emphasize health by expanding economic opportunity and aligning incentives for Americans to make healthier personal choices that can drive improvements throughout the health care system.

2. Responsibility is Best Fostered through Individual Incentives and not an Oppressive Federal Mandate that Violates the Economic Freedoms of Americans: Americans should be in control of their health and the decisions regarding their care. Individuals and families, not governments, are best able to decide the right course of action, which is why price and quality transparency are essential to meaningful reform.

3. Health Care Reform Should Enable Medicaid to Restore and Maintain the Economic Independence as well as Health Status of the Neediest Americans: Medicaid should be a bridge, not a barrier, to independence. Public assistance programs should be designed to offer support for disabled Americans and help individuals return to or maintain economic independence as well as health status.

4. Health Care Reform Should Increase Design Flexibility in Medicaid and the Private Insurance Market to Improve Coverage Choices: Increasing design flexibility in Medicaid and the private insurance market will strengthen access to care for patients, reduce the regulatory burden that increases the cost of care and lead to innovative care management programs.

5. Health Care Reform Should Align Delivery System Incentives to Improve the Value of Patient Care: Delivery incentives should be aligned to focus on quality, value-based and patient-centered programs that work together to improve health — driving value over volume, quality over quantity, while also containing costs.

6. Health Care Reform Should Foster State Innovation to Improve Health care Systems: States are best able to make decisions about the design of their health care systems based on the needs, culture and values of their citizens. Reform should reduce the federal disruption in state and local health care markets while increasing accountability.

7. Health Care Reform Should Address Unsustainable Spending at the Family, State and Federal Levels to Ease the Debt Burden that Threatens our Future: Families, states, and the federal government face a dangerous budgetary outlook made worse by this health care law. The budget problem is spending — and correcting it means empowering individuals and fixing the tax code to remove hidden costs from the health care system.


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About the RGPPC

The Republican Governors Public Policy Committee (RGPPC) is the official policy organization of the nation’s Republican governors. READ MORE