Ep. 73 Conservative Means to Progressive Ends? Avik Roy on Healthcare

Avik Roy

Is there a conservative path to universal healthcare? Our guest certainly believes so.  Avik Roy is one of the most influential conservative voices in healthcare.  A graduate from MIT and Yale Medical School, Avik spent many years with the investment firm Bain Capital.  In 2009, in response to the debates leading up to Obamacare, Avik started a blog to share his insights.  Those were soon noticed by the media and the policy world, and he quickly became the go-to policy wonk on healthcare among conservatives.

In 2012, Roy joined the campaign of Mitt Romney as policy adviser and later went on to advise Texas Governor Rick Perry as well as Senator Marco Rubio.  In 2016, he founded FREOPP, the Foundation for Research on Equal Opportunity, a conservative public policy think tank based in Austin, Texas.  He continues to edit his blog, The Apothecary, now hosted by Forbes where he serves as Senior Opinion editor.


Avik Roy. Twitter


The Apothecary

The Foundation for Research on Equal Opportunity (FREOPP)

Avik Roy. A conservative case for universal coverage (The Washington Examiner, 2014)


Ep. 21 Inside the Swiss Healthcare System, with Marc Fouradoulas 

Ep. 24 Making the Case for Medicare-4-All, with Adam Gaffney


  1. Marc Fouradoulas on 04/13/2019 at 8:14 AM

    Comment from Switzerland:
    I wrote the blog on the mises wire in response to one that glorified Swiss health care for its private market but was far off from reality:
    The message is, there cannot be a functioning private market within universal health care coverage and price controls. In reality, “private insurers“ in Switzerland all offer the same basic coverage and in that regard are not really „private“, their only private business is additional private care such as hospitality upgrades and alternative treatments. It’s pseudo-private and not even insurance per se. The private market for providers focuses on billing as many and the most lucrative codes, financed by third party payers, which is a perverse incentive and so are the outcomes. Actually, it’s the other way around, because of mandated universal coverage, doctors can’t go private, so no chance for DPC over here.
    It’s nice to have a health care “safety net“, but what is it good if premiums are becoming a debt trap for young middle-class families. The barriers to premium subsidies are steadily raised because an increasing percentage of people can’t afford the premiums anymore. Currently, global budgets are on the way.
    Remember, the “middle of the road policy“ leads to socialism. It’s a dynamic in which socialized medicine creates a mess and there is no point in analyzing it.

    • Michel Accad on 04/16/2019 at 12:41 AM

      Great blog and great title. Health insurance is really a force for centralization that could destroy Switzerland over time.

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