There’s no question that the unAffordable Care Act needs to be replaced. It is an example of why government interventions into the marketplace are not a good thing. Government starts out trying to fix something, but their very intervention necessitates following interventions to fix the problems created by their attempt for fix what they perceived as a problem.
Pretty much every analyst agrees that the insurance market under the ACA has entered a death spiral. Something must be done. And, the GOP in the House attempted to do just that with the American Health Care Act. The problem is that it was inadequate to the task assigned to it.
The ACA’s provisions are all intertwined. You cannot just tweak one or two and “fix the problem.” To avoid an even larger disaster, all of the provisions must be repealed at once. By the way, this was a known problem with the bill before it was passed. You were warned, folks. You refused to listen. For highly political and chicken-livered reasons, the Republican establishment chose a compromise bill which keeps the requirements for pre-existing conditions coverage at community ratings, but does away with the individual mandate … sort of … replacing it with a mandatory 30% surcharge, payable to insurance companies, for those who go without coverage for longer than 60 days and then choose to purchase another plan.
Basically, the AHCA removes Obamacare’s funding mechanism while keeping the requirements that made the individual mandate necessary in the first place. Those requirements are what is now driving up the costs of medical insurance to a point where people are dumping insurance altogether. That wasn’t an unexpected outcome of the ACA, either. You were warned. You did not listen. Or, Democrats listened, but only enough to decide to create the individual mandate to punish people for not purchasing insurance … which works only so long as premiums remain less than the tax penalty for not purchasing insurance. We passed that exit some time ago.
Oddly, the surcharge will punish people who decide they now want to buy insurance. That doesn’t provide a lot of incentive for people to continuing paying huge premiums while they’re healthy, which leaves insurance providers unable to remain solvent in a massively distorted market, which will hasten the death spiral.
So, my question to the GOP is … do you WANT to be blamed for this mess?
I ask because … well, you would have been if you’d passed the AHCA in its current form. The insurance market would have collapsed even more rapidly than it is going to under the ACA and the blowback would be pointed at your face, not the Democrats who caused this mess in the first place. The progressives who were so enthused about the ACA would insist that the chaos that followed was the fault of deregulation and the free market rather than what actually caused the problem — Obamacare.
Grow a spine, GOP! Either repeal it (I don’t care if you replace it) or stand back with your hands in the air and let the ACA fail and let the Democrats be blamed for what they caused. That is likely to happen this fall, when you can make a perfect argument for going back to more free market systems.
The Republicans promised the American people that it would repeal every word of Obamacare. You’ve passed two bills that did that, knowing that Obama would veto them. Now you have a President who has said he wants to repeal the ACA, so dust off one of those full repeal bills and send it to him. DO IT!
A real, full repeal is only the first step in repairing health care. A repeal needs to be followed by true free market reforms, with the goal of a complete separation of the health care industry and government. In the interim, the reforms recently proposed by Senator Rand Paul are a long step in the right direction. Only free markets can provide the cheapest and highest quality medical care to the largest amount of people.