With its passage in 2010, the Affordable Care Act (ACA) set out to remake American health care, but in many respects the ACA didn’t change the health care paradigm at all; it simply doubled-down on a broken, decades-old status quo that placed health “coverage” as a national priority above both limiting health care costs and enhancing health care access. After establishing the problem with maintaining an insurancecentered care mindset, this paper explores a promising medical practice model, direct primary care (DPC), which could deliver on the cost and access promises broken by the ACA.

About the Author

Patrick Ishmael

Patrick Ishmael is the director of government accountability at the Show-Me Institute.