Every American should have quality, affordable health insurance that protects their health and financial needs. Meaningful health coverage for all is a moral issue, but it is also an economic imperative.

The private insurance market must be modernized to make it efficient and equitable for all. This will require a partnership between federal and state governments and individuals.

Three reforms will create an insurance market that encourages competition based on clinical value and customer satisfaction rather than risk selection:

1. Changing insurance market rules to enable consumers to buy coverage regardless of their health history

2. Offering subsidies to make a comprehensive insurance package affordable to everyone

3. Requiring all Americans to purchase coverage to balance the risk pool and prevent free riders