What he should say
Healthcare leaders offer suggestions for State of the Union

Editor's note: below is Joseph Antos' response to Modern Healthcare's question: "What should  the president say about health care in the State of the Union address?" Other health industry leaders' responses can be found here.

President Obama should level with the American people about the real problems we face in health care and how we can work together to solve them. It is time to move to a health system that is responsive to consumers and that lives within its means. 

Instead of advancing another round of fee cuts that will never be implemented, change the incentives that drive Medicare spending and give seniors a choice of plans that compete on an even basis. Let states do a better job of operating their Medicaid programs by giving them full flexibility rather than requiring them to seek waivers for even small changes. Give states that accept that flexibility a predictable federal subsidy based on the number of people served, not the volume of services provided. Introduce a more realistic understanding of what it takes to implement the Affordable Care Act.

At least 20 states will not create a state insurance exchange, and most of the others face great difficulties in making it work. They need more time, and so does the federal government. A delay, allowing states to move at their own pace, is the only responsible action—but one that will be especially difficult for this president.
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Monday, July 21, 2014 | 9:15 a.m. – 11:30 a.m.
Closing the gaps in health outcomes: Alternative paths forward

Please join us for a broader exploration of targeted interventions that provide real promise for reducing health disparities, limiting or delaying the onset of chronic health conditions, and improving the performance of the US health care system.

Monday, July 21, 2014 | 4:00 p.m. – 5:30 p.m.
Comprehending comprehensive universities

Join us for a panel discussion that seeks to comprehend the comprehensives and to determine the role these schools play in the nation’s college completion agenda.

Tuesday, July 22, 2014 | 8:50 a.m. – 12:00 p.m.
Who governs the Internet? A conversation on securing the multistakeholder process

Please join AEI’s Center for Internet, Communications, and Technology Policy for a conference to address key steps we can take, as members of the global community, to maintain a free Internet.

Thursday, July 24, 2014 | 9:00 a.m. – 10:00 a.m.
Expanding opportunity in America: A conversation with House Budget Committee Chairman Paul Ryan

Please join us as House Budget Committee Chairman Paul Ryan (R-WI) unveils a new set of policy reforms aimed at reducing poverty and increasing upward mobility throughout America.

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Thursday, July 24, 2014 | 6:00 p.m. – 7:15 p.m.
Is it time to end the Export-Import Bank?

We welcome you to join us at AEI as POLITICO’s Ben White moderates a lively debate between Tim Carney, one of the bank’s fiercest critics, and Tony Fratto, one of the agency’s staunchest defenders.

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