Vance Ginn

Staff Economist, Americans for Tax Reform President, Ginn Economic Consulting

Topics

2026-10-22
Untangling Healthcare Costs: The Role of Government and Competition with Dr. Vance Ginn
In the latest episode of the Health Policy Podcast, Dr. Vance Ginn, staff economist for Americans for Tax Reform and president of Ginn Economic Consulting, discusses the complexities of healthcare costs in the U.S. He argues that government involvement, particularly through Medicare and Medicaid, has significantly contributed to rising healthcare expenses, while emphasizing the need for competition and market-driven solutions to improve the system. Ginn also highlights the role of pharmacy benefit managers and the importance of empowering patients in the healthcare landscape.
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“Making more government as a solution, it could exacerbate the problem.”
“When you think about the dominant factors of Medicaid and Medicare and just the overall expenditures of about $5.7 trillion a year, more than about 60% of that comes from government spending.”
“The more competition that you have, the better off that you're gonna be in weeding out bad actors and creating a situation that's gonna be the most efficient compared to this top-down.”
“We want healthcare to be better off, not healthcare of the system, but healthcare for the individuals, for the patients.”
“If we can bring back, get government out of the way more, we can allow for competition to take place.”
“Why not empower the patient? And honestly, the doctors too.”