The Federalist
Health-care federalism would give states the chance to reduce the cost of health care with market-based reforms. Not all states would take it, but some would."Contrary to much of the media coverage this week, the push by congressional Republicans to do something about Obamacare isn’t a desperate last-ditch effort or a “health care zombie.” On the contrary, it might be the best health-care reform idea GOP leaders have come up with yet.
"The bill, authored by senators Lindsey Graham of South Carolina and Bill Cassidy of Louisiana, would address a woeful imbalance in our health-care system by returning much of the authority for regulating health insurance back to the states, where it belongs. In its current form, the legislation keeps most of Obamacare’s funding in place (except for the individual mandate tax penalties and medical-device taxes) but states would be able to apply for grants that allow them to more or less pursue whatever health-care policies they want with those funds and waive some key parts of Obamacare like the individual mandate and coverage for preexisting conditions.
"In short, Graham-Cassidy represents a kind of health-care federalism, in which states like New York and California would end up with very different systems than states like Texas and Florida. Of course, that’s already true to some extent, and it was true even before Obamacare. But where Obamacare sought to make states more uniform according to rules written by bureaucrats in Washington, Graham-Cassidy would allow states to go their own way." . . .
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