The problem of coverage for pre-existing conditions remains relatively small and limited to the individual health insurance market, despite exaggerated claims used to advance passage of the Affordable Care Act. Nevertheless, too many people still remained at risk of falling through the cracks of protective measures provided by HIPAA, COBRA, and state-run high risk pools.

Which politicians do you trust more to micromanage your health care: federal or state? That’s the false choice presented by two versions of “federalism” intended to divide responsibility for health policy between the national government and the states.

Tom Miller's speech at the Pioneer Institute's health care policy luncheon and The Great Experiment book launch on March 13, 2012.

Repeal of the current health law is a necessary, but not a sufficient, part of fixing our health care system. A credible “replace” proposal needs to deal with a number of important issues.

Repealing the Patient Protection and Affordable Care Act will not be enough, for a simple reason: Although Obamacare would worsen many of the problems with our system of health-care financing, that system clearly does call out for serious reform.

We need targeted reforms, not a federal takeover, to fix the insurance system.

The problem of covering Americans with preexisting conditions is certainly real, but the notion that the only way to solve it is through a massive transformation of America's healthcare system is simply wrong.

Despite President Obama's oft-repeated promise that people would be able to keep their health insurance, the actual implementation of ObamaCare makes clear that people will lose their plans and Washington bureaucrats will be making core decisions about medical care.