Politics & Policy

Obamacare Can’t Be Fixed

(Image: Dreamstime)
Tweaking won’t help; the only solution is to repeal and replace.

Self-shackled with a tremendously unpopular overhaul of American medicine that they passed without a single Republican vote, Democrats are now clinging to the hope that voters will offer them a chance to “fix” what they have wrought. For three major reasons, however, that hope is likely to prove futile. One, Democrats have shown no genuine interest in fixing Obamacare. Their talk about fixing it is merely that: a talking point. Two, they have no ideas for fixing it (aside from adding another metal to the list of government-dictated insurance options). Three, and most important, Obamacare isn’t fixable. Like a house that’s horribly designed, shoddily built, and sitting on an uneven foundation, it isn’t something that invites fixing. It invites tearing down, clearing the lot of the debris, and building anew — using the blueprint from the right sort of conservative alternative (one that protects Americans’ existing insurance).

What’s more, repealing Obamacare and replacing it with a conservative alternative is what Americans want. That’s been apparent for years, and it’s also what recent polling has found.

On the first two points — that Democrats have no particular desire to “fix” Obamacare and no idea how to do so — the groups American Commitment and American Encore have just released an effective short web video:

On the third point, Democrats’ “fix-it” rhetoric clashes badly with their earlier assertions about Obamacare. Before passage, Democrats described Obamacare as “comprehensive” legislation, whose complex component parts were so intricately intertwined that making substantial changes to them wasn’t an option. On the eve of the “health-care summit” (where Paul Ryan had a few things to say to President Obama), Health and Human Services Secretary Kathleen Sebelius said, “I think the president remains committed to the notion that we have to have a comprehensive approach, because the pieces of the puzzle are too closely tied to one another.” Such “comprehensive” approaches call out for comprehensive repeal, not piecemeal fixes.

Moreover, what would Democrats try to fix? Perhaps the least popular part of Obamacare has long been the individual mandate — its requirement that, for the first time in American history, private citizens must buy a product or service of the federal government’s choosing, merely as a condition of living in the United States. What would happen if Democrats were to “fix” Obamacare by nixing this liberty-sapping mandate? Well, here’s Obama adviser Stephanie Cutter, writing on the official White House blog and explaining what would happen:


The Affordable Care Act . . . bans insurance companies from discriminating against people with pre-existing conditions. However, unless every American is required to have insurance, it would be cost prohibitive to cover people with pre-existing conditions.

Here’s why: If insurance companies can no longer deny coverage to anyone who applies for insurance — especially those who have health problems and are potentially more expensive to cover — then there is nothing stopping someone from waiting until they’re sick or injured to apply for coverage since insurance companies can’t say no. That would lead to double digit premiums increases — up to 20% — for everyone with insurance, and would significantly increase the cost [of] health care spending nationwide.

So any Democratic “fix” would have to either (a) keep the hated individual mandate in place, (b) remove the ban on “discriminating against people with pre-existing conditions,” or (c) make Obamacare even more expensive. Republicans should ask Democrats which of these three they’d prefer.

The reason Obamacare cannot be fixed is that it is comprehensive. It’s a comprehensive attempt to consolidate power and money in Washington at the expense of Americans’ liberty, funnel much of that money to Obama’s insurance-industry allies, compel Americans to buy those insurers’ products, and send the tab for all of this back to a citizenry that never wanted Obamacare in the first place. How do you tweak that?

In short, the notion of a fix is fanciful. Obamacare is beyond repair. As Yuval Levin wrote shortly after its passage, Obamacare

is not even a liberal approach to escalating costs but a ticking time bomb: a scheme that will build up pressure in our private insurance system while offering no escape. Rather than reform a system that everyone agrees is unsustainable, it will subsidize that system and compel participation in it. . . . 

Because Obamacare embodies a rejection of incrementalism, it cannot be improved in small steps. Fixing our health care system in the wake of the program’s enactment will require a big step — repeal of the law.

That’s exactly right. Obamacare can’t be fixed, but the American health-care system can be — and the first step in fixing our health-care system is repealing Obamacare.

— Jeffrey H. Anderson is executive director of the 2017 Project, which is working to advance a conservative reform agenda, including a winning alternative to Obamacare.

Most Popular

PC Culture

Hate-Crime Hoaxes Reflect America’s Sickness

On January 29, tabloid news site TMZ broke the shocking story that Jussie Smollett, a gay black entertainer and progressive activist, had been viciously attacked in Chicago. Two racist white men had fractured his rib, poured bleach on him, and tied a noose around his neck. As they were leaving, they shouted ... Read More

White Progressives Are Polarizing America

To understand how far left (and how quickly) the Democratic party has moved, let’s cycle back a very short 20 years. If 1998 Bill Clinton ran in the Democratic primary today, he’d be instantaneously labeled a far-right bigot. His support for the Religious Freedom Restoration Act, the Defense of Marriage Act, ... Read More
Politics & Policy

The Strange Paradoxes of Our Age

Modern prophets often say one thing and do another. Worse, they often advocate in the abstract as a way of justifying their doing the opposite in the concrete. The result is that contemporary culture abounds with the inexplicable — mostly because modern progressivism makes all sorts of race, class, and ... Read More
PC Culture

Fake Newspeople

This week, the story of the Jussie Smollett hoax gripped the national media. The story, for those who missed it, went something like this: The Empire actor, who is both black and gay, stated that on a freezing January night in Chicago, in the middle of the polar vortex, he went to a local Subway store to buy a ... Read More

One Last Grift for Bernie Sanders

Bernie Sanders, the antique Brooklyn socialist who represents Vermont in the Senate, is not quite ready to retire to his lakeside dacha and so once again is running for the presidential nomination of a party to which he does not belong with an agenda about which he cannot be quite entirely ... Read More
Film & TV

A Sublime Christian Masterpiece of a Film

‘There are two ways through life -- the way of nature and the way of grace,” remarks the saintly mother at the outset of The Tree of Life, one of the most awe-inspiring films of the 21st century. She continues: Grace doesn’t try please itself. It accepts being slighted, forgotten, disliked, accepts insults ... Read More
PC Culture

Changing Reality with Words

The reinvention of vocabulary can often be more effective than any social protest movement. Malarial swamps can become healthy “wetlands.” Fetid “dumps” are often rebranded as green “landfills.” Global warming was once a worry about too much heat. It implied that man-made carbon emissions had so ... Read More