Republican vice-presidential candidate J. D. Vance is under fire for saying that Americans should have more options for their health coverage and that one-size-fits-all approaches that force all Americans into the same insurance pool can be improved upon.
Proposals to improve the status quo should be welcomed, given the deep underlying problems with the Affordable Care Act (ACA). The policies that Donald Trump pursued as president both improved the ACA and provided people with options for better coverage — showing that it is possible to do both. The reforms recommended by Senator Vance would protect people with preexisting conditions and give people better health-coverage options, aims that are not mutually exclusive.
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