Stop Paying More for Less: Realigning Healthcare Incentives to Improve Outcomes & Reduce Costs

Joint Economic Committee · December 17, 2025

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Opening and framing

Presentation

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Chair (referred to in the record as Chairman Schweickert) called the hearing to order and framed the topic as how U.S. health care has become financial engineering — who pays, who is subsidized, and how innovation is constrained by regulation and rent-seeking. He cited a Joint Economic Committee Republican analysis projecting Medicare trust fund insolvency in seven years and urged focus on innovations that improve health and lower costs.

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A Joint Economic Committee hearing focused on whether the U.S. has turned health care into financial engineering, examining Medicare solvency, insurer-led prevention programs, hospital consolidation, drug pricing, fraud in ACA exchanges, and policy options such as competition, public options, and longer-term insurance contracts.

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Transcript

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