Noticeably absent from both the floors of Congress and the presidential campaign trail: innovative ideas for lowering healthcare costs, easing the system’s regulatory burdens, and offering patients greater freedom to design their own plans. Lanhee Chen, Hoover’s David and Diane Steffy Fellow in American Public Policy Studies, discusses Hoover’s Choices for All project to revamp America’s healthcare system and he reflects on various health-related entitlement challenges that will soon overwhelm state and local governments (including rising Medicaid costs as well as Medicare costs related to America’s growing elderly population).