Americans spend over $3 trillion annually on their health care, yet many encounter high costs, limited access to services, and uneven quality of care. A Prescription for Health Care Reform proposes a better way to make sure everyone is adequately insured.

The authors' primary recommendation is to restructure Medicaid. The creation of a new Medicare Part E would bring all of Medicaid under the umbrella of the federal government and would immediately relieve states of an annual burden of $200 billion. This shift in funding could be financed through a small payroll tax, though...