As the debate around repeal and replacement of the Affordable Care Act drags on, the discussion remains centered on reforming the insurance marketplace. To achieve affordable healthcare, the debate needs to pivot and focus on the cost of services and consumption of services.

If we were to look at countries like Canada, Australia, and those in Europe, for example, there is a core, ideological difference that must be understood. Other countries have a very different social contract with its citizens and each country — on its own — have much smaller populations to address than in the United States to manage their healthcare systems. Thus, there are pros and cons to each country’s approach to healthcare policy.

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