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Driving Us Crazyby Global Trekker |
[Gazette Blog Editor's comment: The following is an article from the Wall Street Journal with comments in blue by Global Trekker, a blogger who makes a lot of sense in these divided political times.]
Ponnuru and Levin: A Conservative Alternative to ObamaCare (WSJ, November 14, 2013)
As
ObamaCare's failures and victims mount by the day, Republicans have so
far mostly been watching in amazement. They expected the law to fail,
but even among its most ardent opponents few imagined the scale and
speed of the fiasco.
Seeing
the pileup, Republicans might be tempted to step aside and let
ObamaCare continue to disappoint and infuriate Americans. After all, the
GOP doesn't have the power to repeal the law, or even to make
meaningful changes to undo its worst effects. So why not just watch the Democrats pay the price for their folly?
Blog
Comments: This is the kind of thing that drives Americans crazy.
And, after all we have been through with the government shutdown
debacle, one would think learned political people would, at some point,
put the Country ahead of partisan politics. Unfortunately, there is a
political calculation made on every issue - regardless whether its good
for the Country or not.
But
such passivity would actually protect the Democrats from paying that
price. What Republicans can and should do is offer the public something
better. Now is the
time to advance a conservative reform that can solve the serious,
discrete problems of the health-care system in place before ObamaCare,
but without needlessly upending people's arrangements or threatening
what works in American medicine. That the Democrats
are now making things worse doesn't mean the public wants to keep that
prior system, or that Republicans should.
Blog
Comments: On cannot read this section without a sense of complete
desperation and incredulousness. "Now is the time"? Are you kidding me?
Where have you been? The conservatives have made no effort to modify the
health care system and the existing entitlement programs for 30+ years.
And, "Now" is the time "advance conservative reform"? If it had not
appeared in print it would unimaginable that someone would day that.
The biggest Republican misconception about health care is that the system before ObamaCare was a free-market paradise.
On the contrary: It has consisted chiefly of massive and inefficient
entitlements that threaten to bankrupt the nation; the lopsided tax
treatment of employer-provided coverage that creates incentives for
waste and overspending; and an underdeveloped individual market
struggling to fill the gaps.
Exploding
health-care costs and millions left needlessly uninsured are a result
of misguided federal policies. Solutions require targeted reforms to
those policies.
The
outlines of such reforms have been apparent for years. The key is to
enable all Americans to purchase coverage and to approach health care as
consumers: with an interest in quality and an eye on cost.
The first step of a plan to replace ObamaCare should be a flat and universal tax benefit for coverage. Today's
tax exclusion for employer-provided health coverage should be capped so
that people would not get a bigger tax break by buying more extensive
and expensive insurance. The result would be to make employees more
cost-conscious; and competition for their favor would make insurance
cheaper.
That
tax break would also be available—ideally as a refundable credit
sufficient at least for the purchase of catastrophic coverage—to people
who do not have access to employer coverage. This would enable people
who now choose not to buy insurance to get catastrophic coverage with no
premium costs. It also would give those who want more-comprehensive
coverage in the individual market the same advantage that people with
employer plans get.
Medicaid
could be converted into a means-based addition to that credit, allowing
the poor to buy into the same insurance market as more affluent
people—and so give them access to better health care than they can get
now.
All
those with continuous coverage, which everyone could afford thanks to
the new tax treatment, would be protected from price spikes or plan
cancellations if they got sick. This guarantee would provide a strong
incentive to buy coverage, without the coercion of the individual
mandate. People who have pre-existing conditions when the new rules take
effect would be able to buy coverage through subsidized, high-risk
pools.
By
making at least catastrophic coverage available to all, and by giving
people such incentives to obtain it, this approach could cover more
people than ObamaCare was ever projected to reach, and at a
significantly lower cost.
The
new alternative would not require the mandates, taxes and heavy-handed
regulations of ObamaCare. It would turn more people into shoppers for
health care instead of passive recipients of it—and encourage the kind
of insurance design, consumer behavior and intense competition that
could help keep health costs down. Redesigned and directed this way, the
flow of federal dollars and tax subsidies would do much less to distort
health markets than it has for the last several decades, while getting
far more people insured.
Conservative
policy experts have long proposed such approaches, but congressional
Republicans, with a few honorable exceptions, have not taken them up in
recent years. In 2009, for instance, House Republicans offered an
alternative to ObamaCare that did nothing about today's
market-distorting tax policy and thus did not do much to help the
people whom that policy—by inflating premiums—has locked out of the
insurance market.
Some
Republicans think that political success requires nothing more than
watching ObamaCare fail. But if the new system quickly implodes, that
would be all the more reason to have an alternative on hand—other than
another leftward move toward single payer. And it might not implode so
quickly.
Other
Republicans fear that any alternative would amount to ObamaCare Lite,
just another big government health-care program. But a real
market-oriented conservative reform would take us toward an actual
functioning consumer market in coverage—and so to the right not only of
ObamaCare but of the system that preceded it.
There
has also been a fear among some Republicans that proposing an
alternative would give Democrats a target and distract the public from
the expected and now real failures of ObamaCare. But the absence of a
credible alternative has been the GOP's greatest weakness in the fight
against ObamaCare, and it is probably why polls show that even many
people who are skeptical and concerned about ObamaCare do not support
full repeal.
Defenders
of ObamaCare are using the absence of a Republican alternative to
suggest that their law is the only answer to the grave problems of
American health care and that without it millions of Americans would
continue to lack access to coverage. That argument is their final trump
card. It is time for Republicans to take it away.
Mr.
Ponnuru is a visiting fellow at the American Enterprise Institute and a
senior editor at National Review. Mr. Levin is the editor of National
Affairs and a fellow at the Ethics and Public Policy Center.
Blog
Comments: These are the kinds of conservative commentaries that
drive Americans crazy. The article suggests (or reveals)
rear-view-mirror politics. Republicans and conservatives (no longer sure
they are the same thing) have been in majority positions of the
government numerous times in the last 30 years. Nothing has happened, no
changes have been accomplished and, despite their passivity, they
continue to complain of any attempt to change the existing system. Can
they possibly argue that the prior health system was a success?
Quite the contrary. It was a miserable failure and became unaffordable.
If the have the fortitude, conservatives should put an alternative
before the American people to consider. Only then can they complain of a
political opponent that is trying to manage the government more
effectively and move some programs forward.
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