Consider This from NPR Focusing on care not just coverage; economist argues for bigger solutions
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Dec 7, 2025 Craig Garthwaite, an economist and director at Northwestern's Kellogg School, dives into innovative solutions for Medicaid. He argues that the current focus on subsidies is too limited. Garthwaite discusses the potential of easing rules for foreign-trained doctors and allowing nurse practitioners to practice independently, which could significantly expand care. He advocates for state-based experimentation to implement reforms, highlighting how lowering costs could enhance access for low-income patients. These ideas promise a new direction for healthcare beyond mere coverage.
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Coverage Changes Don't Lower Total Costs
- Craig Garthwaite argues that changing ACA subsidies shifts who pays, not total healthcare spending.
- He urges focus on how much care people actually receive for the money spent.
Recruit Foreign-Trained Physicians
- Ease restrictions on foreign-trained doctors to expand the provider supply for low-income patients.
- Require those doctors to focus on Medicaid and underserved communities in exchange for licensure.
Empower Mid-Level Providers
- Allow nurse practitioners and physician assistants to practice independently to expand primary-care access.
- Deploy mid-level providers widely in Medicaid to increase time with patients and cut costs.