Tom Miller's remarks on the election's impact on health care at the annual meeting of the American College of Physicians.

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.

As co-authors of Why ObamaCare Is Wrong for America,we strongly recommend that the Affordable Care Act of 2010 should be repealed and replaced as soon as possible.

Tom Miller's proposals for Medicaid reform. 

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.

Better-designed provider-level measurement can make the cost containment tools of differential reimbursement, high-performance tiered networks, valuebased benefit design, clinical re-engineering, and the responsible choices they offer more visible and effective.