Secretary of Health and Human Services Alex Azar recently outlined an ambitious health care policy agenda that is positively Reaganesque. The states’ diverse health insurance problems, he noted, are best resolved by the people of the states themselves.

Having stacked the deck in favor of Medicare for All, a new report comes up with a price tag: By 2031, the federal government would be spending an additional $4.2 trillion a year. For reference, the amount is slightly more than the total the U.S. government expects to spend this year.

Many Republicans assume their party will take another stab at repealing and replacing the Affordable Care Act if the midterm elections go their way, even though GOP candidates aren’t making a big deal about it on the campaign trail.

Telemedicine is making better care, quicker care and life-saving care available to more patients every day. Thanks to technological breakthroughs, we don’t need to travel to a doctor’s office or a hospital for every medical need. We can get much of our care right in our own home.

Since they were created in 2004, tax-advantaged Health Savings Accounts (HSAs) have become a successful tool toward promoting patient choice in health care. HSAs are utilized in combination with a high deductible health plan and have proven to be a free-market health-care proposal that does not rely on mandates or cash subsidies. Today, 25 million American families and individuals save and spend their own money tax free on a variety of healthcare expenses — more than double the number of individuals that use ObamaCare exchanges.

The U.K.’s government-run healthcare system, the National Health Service, turns 70 this month. There’s not much to celebrate. The NHS is collapsing. Patients routinely face treatment delays, overcrowded hospitals, and doctor shortages. Even its most ardent defenders admit that the NHS is in crisis.

States are testing the waters with Medicare-for-all type plans while waiting for federal solutions. The cost of single-payer plans could be the biggest hurdle.”Medicare for all” is becoming a rallying cry in state elections, with state legislators coming up with their own versions of single-payer healthcare despite, or possibly because of, the stagnation of similar ideas at the federal level.

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A federal judge’s decision to bar Kentucky from imposing a work requirement on Medicaid recipients won’t discourage the Trump administration from considering similar requests from other states, CMS Administrator Seema Verma said Tuesday at the POLITICO Pro summit.

The U.S. House Ways and Means Committee has advanced 11 bills, including three introduced by U.S. Rep. Peter Roskam (R-IL), to expand access to Health Savings Accounts (HSA), which currently provide healthcare coverage to more than 25 million Americans.

Premiums in California’s health insurance exchange will rise by an average of 8.7% next year. The average increase in California is smaller than the double-digit hikes expected around the nation, due largely to a healthier mix of enrollees and more competition in its marketplace. Still, health insurance prices keep growing faster than wages and general inflation as a result of rising medical costs overall, squeezing many middle-class families who are struggling to pay their household bills.