The flaws of the current health care system and many and the solutions are complex

The most reliable source of information is the website of Physicians for a National Health Plan

Legislation is working its way through congress. A recent update can be found in Health Affairs

The New York State legislature is entertaining a serious proposal championed by Richard Gottfried

Comments on the Affordable Care Act:

I was privileged to serve as Medical Director for two health plans created under the Affordable Care Act: Health Republic Insurance of New York, and Health Republic Insurance of New Jersey. Formed as Community Owned and Operated Health Plans (COOP), they represented two of the 23 COOPs designed to increase competition. Here is my take on why they failed.

COOPs the Underdog in the US Health Care Marketplace

 Health Affairs Policy Brief on COOPs

Nonprofit Health Plans: Designed to compete for the public good October 2014

Health Republic Insurance of New Jersey 2013 and 2015

Health Republic Insurance of New York

Tough Going for Health COOPs September 2015

Why Are many COOPs failing? Commonwealth Fund December 2015

Health Republics demise was predictable Crain's, January 2016

Crain's report on Health Republic Insurance of New York, April 2016

What happened to the State Health Insurance COOPs? November 2016 update

Is Obamacare Succeeding in New York? Crain's October 2016

Health Republic's big deficit means hospitals likely out millions, Politico November 2016

Administrative, network costs doomed New York City health plan startups

A Financial Analysis of New York City Start-up Health Plans and Reasons for Their Losses