Small Is Still Beautiful in South Carolina’s Health Care Strategy

In this Post and Courier op-ed, Dr. Marcelo Hochman argues that South Carolina’s refusal to expand Medicaid under the ACA has positioned it for greater long-term stability. While hospital systems nationwide chase short-term federal subsidies and debt-fueled expansion, Dr. Hochman calls for a different path: one rooted in independent, community-based care. He advocates for smart policy reforms—like banning non-compete clauses and supporting pro-bono work—that empower small practices, reduce costs, and deliver more human-centered care.
Read the full article: SC didn’t expand Medicaid, and that may have been a smart move