Our Healthcare Affordability Crisis Is a Structural Problem. We Need Structural Solutions.

Last Updated September 11, 2026

Healthcare costs are squeezing family budgets, employers, and public programs alike, crowding out spending on priorities like education and infrastructure. In a new Fierce Healthcare op-ed, Executive Director Caroline Pearson argues the affordability debate is stuck on the wrong question: not who pays for care, but why it costs so much to begin with. Her fix is to change the incentives that reward higher prices and hand real purchasing power to the people footing the bill.

Caroline points to three concrete levers for lowering healthcare spending:

  • Employers can act like sophisticated buyers by demanding real data on price and value.
  • States can use their power as regulators, employers, and Medicaid administrators.
  • Technology can get paid for outcomes instead of activity.

Read the full op-ed in Fierce Healthcare.

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