Ramesh Ponnuru takes his expertise from National Review to TIME this week to discuss market-based health care reform proposals.

Among the highlights:

The federal government long ago got into the business of insuring two
groups that the job-based system excludes: Medicare covers retirees,
and Medicaid covers the jobless and indigent. These programs have been
expanding. The Democratic plans would expand the federal backstop still
more to achieve universal coverage. So both parties would shift
responsibility for health care away from business. The main difference
is whether government or individuals would get control of the money
business now spends on health care.