Thomas Miller is a former senior health economist for the Joint Economic Committee (JEC). He studies health care policy and regulation. A former trial attorney, journalist, and sports broadcaster, Mr. Miller is the co-author of Why ObamaCare Is Wrong For America (HarperCollins 2011) and heads AEI's "Beyond Repeal & Replace" health reform project. He has testified before Congress on issues including the uninsured, health care costs, Medicare prescription drug benefits, health insurance tax credits, genetic information, Social Security, and federal reinsurance of catastrophic events. While at the JEC, he organized a number of hearings that focused on reforms in private health care markets, such as information transparency and consumer-driven health care.
Member, National Advisory Council, Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services, 2007-2009
Senior Health Economist, Joint Economic Committee, U.S. Congress, 2003-2006
Director, Health Policy Studies, Cato Institute, 2000-2003
Program Director, Economic Policy Studies, 1993-2000; Senior Policy Analyst, 1986-92, Competitive Enterprise Institute
Miller's testimony before the Energy and Commerce Committee highlights the various shortcomings of the Pre-existing Condition Insurance Plan (PCIP) components of the ACA, analyzes the overall law’s faulty diagnosis of the size, scope, and causes of coverage problems for Americans with high-risk/high-cost health conditions and proposes some alternative policy reforms going forward.
Opposition to ACA-style exchanges should also reinforce a more principled strategy: to reshape the future nature of our healthcare system by supporting a better model of true choice and competition for willing buyers and sellers of diverse health insurance products.
While it may simply be good short-term politics for Republican state officials looking to avoid the blame for ongoing complications and contradictions that were made in Washington, it should also reinforce a more principled strategy to support a better version of choice and competition for diverse health insurance products.