Joseph Q. Jarvis: Embrace comprehensive health system reform

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Joseph Q. Jarvis: Embrace comprehensive health system reform
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Joseph Q Jarvis: “We can’t keep forking over trillions of dollars every year (mostly through our taxes) to support health care delivery that is poor quality, highly inefficient and leaves our patients in debt.”

In this May 1, 2020, photo, campaign workers David Woodruff, left, and Jason White, right, deliver boxes of initiative petitions signatures to the Missouri secretary of state's office in Jefferson City, Mo. Missouri voters approved Medicaid expansion by a 53% to 47% margin.Not much was overtly said about health system reform during the several hours of election coverage I watched on Election Day. None-the-less, American voters know that how we do health system business is unsustainable.

Abortion is, by its very nature, a medical procedure and, in many circumstances, such as ectopic pregnancy, an urgent and lifesaving one. Providing for physicians and patients to have the legal protections necessary to make clinical decisions freely will therefore also be on every ballot. But the recently completed election had at least two health reform votes openly on the ballot — one was in the U.S. Senate race in Pennsylvania and the other was a ballot measure in South Dakota.

Even in red states there is an underlying urge to find a way to fund health care for everyone. Prior to this year, six red states had seen the question of Medicaid expansion come to the vote through ballot initiative. In every one of those states — Idaho, Maine, Missouri, Nebraska, Oklahoma and Utah — the electorate chose to expand Medicaid even though the respective legislatures had already voted it down.

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