By NextBestFitSolves only part of the problem
The path helps some people or places but not others, or offers partial relief. This matters most when it is treated as a complete fix, and less when it is one part of a broader response.
Under your mix of paths
Caused or worsened by these paths
A cost these paths share. Each path's page says how it applies there.
Expanding current Medicare carries forward the lack of a cost cap and dental coverage unless those gaps are fixed.
Free-premium default plans may still have high cost sharing. Automatic enrollment preserves the existing system's costs, complexity, networks, and denials.
Retaining private insurance preserves current administrative costs.
Employer-funded portable plans do not help people without jobs.
Keeping territory Medicaid eligibility rules leaves coverage short of universal enrollment.
Forgiveness offers relief only once, and debt returns unless its causes change. It reaches debt sold to buyers rather than debt still held by hospitals.
Evidence that patients shop by price is weak, and disclosure alone does not reduce prices.
Most patients never appeal, so overturned-denial penalties catch only a fraction of cases.
Few physicians qualified for the Texas exemptions during the early implementation period.
Rural areas may support only a single hospital, limiting the reach of competition measures.
Private equity can still enter areas with remaining margins, including hospice and dermatology.
The off-campus fee ban reaches less care than full site-neutral payment.
Tying executive pay rules to community benefit does not directly cap executive pay.
Public or nonprofit manufacturing covers only off-patent drugs.
Mail delivery and remote pharmacist supervision are poorly suited to urgent medications or patients needing counseling.
Training in exchange for service does not ensure lasting staffing because many clinicians leave when their service ends.
Fee bonuses alone often do not move clinicians because schools and spouses' jobs also matter.
Telehealth cannot substitute for hands-on care. Telehealth expansion is limited by the lack of broadband in many rural areas.
Expanded team roles still depend on physician supervision, which can be a bottleneck in rural areas.
Payment per service at national rates still requires billing.
Postpartum coverage alone does not fix shortages of postpartum care.
Universal coverage and uniform rates do not address nonfinancial barriers such as distance, language, and trust.
Feedback on low-value care rates and electronic record alerts have only small effects.
Coverage after a waiting period relies on private insurance or savings for initial care, but the private long-term care insurance market is weak.
Funding housing and food outside health care leaves the health system unable to act directly when a patient’s housing is making them sick.
Private insurance limited to uncovered extras offers little relief from waits for core care.
Allocating part of negotiation savings to public research leaves smaller savings.
Choice among competing integrated care organizations is limited in rural areas.
Raising prices when tracked supply falls is reactive rather than preventing the initial decline.