March 6, 2014
The senator’s largest applause line when he returned to a familiar trope, calling for the repeal of “every single word of Obamacare.”
When Cruz led the push to defund Obamacare last fall, he argued that repeal of the law would be impossible once it was enacted; Americans would become “addicted” to government subsidies, said.
He has since changed his tune. “When millions of Americans stood up last fall and said stop this train wreck, this disaster that is hurting millions of people…the mainstream media said you can’t do anything to stop this.”
“Yes we can,” he said, to whoops and cheers from the audience.
via Cruz: ‘Yes We Can’ Repeal Obamacare | National Review Online.
March 3, 2014
No one has been more critical than me, for example, toward Democrats who refused to phase-in age rating compression rather than shock the market all in one year. But, it’s done. Rolling key provisions of the Affordable Care Act back would only create a new set of offended parties who would want to keep the insurance they have.
This sets up an incredible political irony.
By not being willing to fix Obamacare, the Republicans have put themselves in the position of having to take things away from people — many of them from solid middle class people.
That opens up a huge political opportunity for the Democrats.
via An analysis of the Republican alternative to Obamacare.
February 28, 2014
Unknown to a nation following the fiasco, McDonough’s assignment from the President had boiled down to something more dire than how to fix the site. As the chief of staff remembers his mission, it was “Can it be patched and improved to work, or does it need to be scrapped to start over? He wanted to know if this thing is salvageable.”
Yes, on Oct. 17, the President was thinking of scrapping the whole thing and starting over.
via Obama’s Trauma Team: Inside the Nightmare Launch of HealthCare.Gov — Printout — TIME.
February 25, 2014
House Republican leaders will meet Friday to begin crafting an alternative to Democrats’ health care law, but they face a slate of challenges from inside and outside the conference to advancing a credible plan.
Majority Leader Eric Cantor, R-Va., will meet privately with relevant committee heads, his staff said. Budget Chairman Paul D. Ryan of Wisconsin, Education and the Workforce Chairman John Kline of Minnesota, as well as Ways and Means Chairman Dave Camp and Energy and Commerce Chairman Fred Upton, both of Michigan, will attend.
Cantor has pledged a vote to not just repeal President Barack Obama’s health care law but also replace it with Republican legislation this year. And although Cantor said in a memo to members Friday that leaders are continuing “work to finalize” the bill, the process is far from its final stages.
via GOP Leaders to Huddle on Obamacare Alternative | 218.
February 24, 2014
The Patient Protection and Affordable Care Act has fostered intense debate on the delivery of health care over the past five years. We are now five months into the six-month roll out of Obamacare, and fewer than one-quarter of Americans believe the President’s health care law will actually improve their family’s health care. Americans know there are problems in health care delivery, but they do not want Washington, D.C. to manage their personal health choices. Long wait times, inefficient systems, dysfunctional web sites, fewer choices and higher costs are all symptoms of the problem. But state legislatures have found a solution.
They are increasingly adopting the Health Care Compact, a way for states to take control of health care regulations locally. Eight states currently belong to the HCC, because local control would improve the delivery of health care while improving medical innovation, reducing fraud and providing more health care options for people within their states. Additional states are also considering the HCC and for good reason; local control works better. For example, during the disastrous healthcare.gov website roll out we were told that the problems were mostly with the federal website and that state web sites were working much better. This fact reflects the larger point of the HCC; that states can manage problems better on behalf of their citizens.
via The Health Care Compact: Fixing American Health Care, One State At A Time.
February 13, 2014
By repealing Obamacare rather than trying to fix that law, the PCA presents a clear alternative with all of the key elements of a market-based health reform. In any event, Obamacare is too lengthy and interconnected to address coherently through a series of one-off amendments. Having cleared the slate, the authors of the PCA provide an internally consistent reform that avoids the heavy emphasis on mandates and federal regulatory control that permeates Obamacare.
via A Senate GOP Health Reform Proposal: The Burr-Coburn-Hatch Plan – Health Affairs Blog.
February 11, 2014
There are three reasons why advancing an alternative is so important: (1) politically, one cannot expect to beat something with nothing; (2) policy-wise, our health-care system already needed to be fixed pre-Obamacare, because the federal government had already broken it; and (3) if Obamacare continues to unravel but conservatives offer no viable alternative, liberals will seize the opening to push for the government monopoly over American medicine (“single payer”) they have always desired.
The common formulation is that we need to “repeal and replace” Obamacare. The truth is more nearly the reverse: We need to advance a winning alternative to pave the way to full repeal.
via Paving the Way to Full Repeal « THE 2017 PROJECT THE 2017 PROJECT.
February 11, 2014
By our count at the Galen Institute, more than 35 significant changes already have been made to ObamaCare: at least 18 that President Obama has made unilaterally, 15 that Congress has passed and the president has signed, and 2 by the Supreme Court. But even this large number of changes hasn’t stopped the cascade of failures we are seeing today in the implementation of the law.
via 35 Changes to ObamaCare…So Far | Galen Institute.
February 10, 2014
The Obama administration continues to delay and dismantle ObamaCare, with news today that it is postponing for one more year the mandate that some employers must provide health insurance to their workers.
This pushes one wave of bad news past the 2014 elections. It may be just a coincidence that the announcement is being made now: The president met privately with Democrat members of Congress last week at their retreat, and he no doubt got an earful about how frightened they are about facing the voters while trying to defend the unpopular law.
Today’s announcement may provide a measure of relief. It means that employers with 100 or fewer workers will not be required to provide health insurance next year. The law exempts businesses with fewer than 50 workers.
The delay also does not change the individual mandate, which requires most Americans to purchase insurance. But that shoe may be dropping next, probably as soon as the open enrollment period in exchanges is completed on March 31 (unless that is extended, too).
via The end of ObamaCare draws nearer | Galen Institute.
February 10, 2014
Taxing 35 percent of employer-based benefits earns the same political blowback as taxing 100 percent of employer-based benefits. Including the entire value of employer-based benefits as taxable income would raise enough money to give every American a tax credit to buy health insurance, whether individually or from her employer. Md most of us would see higher after-tax incomes as a result.
The Senators’ proposal goes in the right direction, but not nearly far enough. Although its approach to reforming private health insurance for working people will struggle to be accepted by Americans, it elevates the debate by re-introducing the possibility of a health-insurance tax credit as an alternative to Obamacare.
via Senate Republicans’ Health-Reform Proposal Leaves Significant Room for Improvement – Forbes.