Thursday, January 12, 2017

On replacing the ACA: Obamacare

I fear this is going too quickly; The Republicans must be sure to get this right. My doctor strongly dislikes Obamacare, but has settled into it now. Any further upheaval has to be a genuine improvement. TD







NRO: The GOP Must Be Practical When Replacing the ACA
The GOP must have a bipartisan plan for a market-based system ready before they repeal Obamacare.
. . . "To succeed in this effort, however, House and Senate Republicans, as well as the incoming Trump administration, must dispense with wishful thinking. There is no plan for replacing the Affordable Care Act (ACA) that is without political controversy. Whatever they do will involve trade-offs, and in some cases they will be attacked by their political opponents for doing what is necessary but perhaps unpopular.

"Further, there is no silver bullet for reforming health care that will solve all the existing problems. Health-care policy is complicated and does not lend itself to simple solutions. What’s needed most of all is the discipline of a well-functioning marketplace. Getting there will require many changes, in public insurance, employer plans, Health Savings Accounts (HSAs), and the individual insurance market. While Medicare changes can be addressed separately from other reforms, it will not be possible to replace the main provisions of the ACA in incremental, piecemeal bills, as has been suggested by some in Congress." . . .  Emphasis mine, TD 
James C. Capretta is a senior fellow at the Ethics and Public Policy Center and a visiting fellow at the American Enterprise Institute.  He is a long-time analyst of health care and economic issues for National Review.

Mr. Capretta fears the option of repeal without replacing  . . . "Regardless of Trump’s inclinations, however, it would be a terrible idea — for substantive and political reasons — for Republicans in Congress to pursue repeal without replace(sp) in 2017." . . .




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Via NBC News:
The U.S. Senate took the first major step toward repealing the Affordable Care Act after a marathon voting session that started Wednesday evening and extended into early Thursday.
The vote does not repeal President Obama’s signature achievement, but it does set the stage for Republicans to clear the first procedural hurdle for repeal of the massive health care law. The bill will now go to the House of Representatives for a vote expected to take place on Friday.
“The Senate just took an important step toward repealing and replacing Obamacare by passing the resolution that provides the legislative tools necessary to actually repeal this failed law while we move ahead with smarter health care policies,” Senate Majority Leader Mitch McConnell said in a statement.

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