The COVID-19 pandemic brought into sharp focus the severe inequities that plague the U.S. health care system. Today, as the country emerges from the grip of the pandemic, decisions about the future of health care policy in the U.S. must be considered through the prism of health equity, taking into account the direct and indirect consequences of health reforms on vulnerable populations. President Joe Biden and Congressional Democrats are exploring policy proposals to establish a public option, a government-run plan designed to compete with private plans on the marketplace. As policymakers seek to expand coverage through a new government insurance option, they should also consider how the program and its use of lower provider reimbursements could ultimately impact access to care for vulnerable Americans.
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