While we are open to a variety of ideas and research for health care reform policy in the U.S., we recognize that high medical costs dominate health care concerns for the poor and the middle class. With that in mind, we see some form of universal health care insurance as the logical conclusion to future reforms. Such coverage could be provided as an extension of Medicare, through private insurance (subsidized as needed), or through some other mechanism. We see universal health care coverage as fully consistent with market-based efforts to increase the efficiency of health care delivery, promote innovation, and encourage informed consumer choice. Learn more about The Niskanen Center’s health care reform policies and the research we’ve done on the subject below.