“For decades, cost-conscious Republicans criticized the way health care is delivered in our country. They argued that generous insurance plans, combined with the fee-for-service system in which doctors, hospitals, and other providers are reimbursed for each point of service they deliver, creates incentives for overuse.”

American political consultant

Neera Tanden is an American political consultant and former government official. She is the president and CEO of the Center for American Progress, a Democratic think tank, and served in the Biden administration from 2021 to 2025. Tanden was director of the United States Domestic Policy Council from 2023 to 2025. Before that, she was a senior advisor and staff secretary to President Joe Biden from 2021 to 2023. She had already spent years with the Center for American Progress, including a previous tenure as its president, after working there in different roles since its founding in 2003.