January 11, 2017

REFORM, NOT REPEAL:

An ObamaCare compromise that Republicans and Democrats can both love (James Pethokoukis, Jan. 11th, 2017, The Week)

What if Republicans had compromised with President Obama in 2009? What would America's health-care system look like today? [...]

Republicans should go even farther than reforming ObamaCare. They should expand it.

Imagine an America where ObamaCare was so robust, where the exchanges were such a crackling hotbed of free-market activity and competition, that everyone purchased insurance this way, and no longer counted on their employers (or the government) for health coverage.

Many health policy analysts would love to "transcend ObamaCare" by, in effect, creating an ObamaCare-for-all (or TrumpCare-for-all) system that eventually moves everyone to individual health insurance policies sold through reformed ObamaCare exchanges. The result would be a more coherent, unified system where all Americans would get their health care through the private sector, with poorer Americans receiving refundable tax credits to purchase plans. It could make American health care more market- and consumer-driven overall -- pleasing freedom-loving Republicans -- while building upon President Obama's great achievement -- pleasing Obama-loving Democrats.

It also seems like a more logical next step for the American health-care system, rather than to whipsaw it by undoing a nearly decade-old systemic reform with another systemic reform that repeals and replaces the first one.

And when you think about it, something like this really should have been first step all the way back in 2009. Maybe it's not too late to see what that compromise would have looked like, after all.

The citizenries of developed democracies consider health care a right, so we'll either have National Health or a universal HSA/catastrophic system.

Posted by at January 11, 2017 9:31 AM

  

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