The Premise

A common refrain in U.S. health policy conversations is that every other high income nation has figured out how to provide accessible, high-quality care to all of its citizens – so why can’t the U.S.? In 20 years of studying health care policy, Harvard professor Ashish K. Jha and his team at the Harvard Global Health Institute have learned that the reality is rarely so simple, though far more interesting. Since no country or plan can cover everyone for everything all the time, designing a healthcare system requires making difficult choices — yet we all know very little about how these choices are made, and how they affect patients and caregivers.