The Corner

Speaking of Repeal and Replace

Here is our editorial today on how to go about repealing Obamacare:

On health care, congressional Republicans should listen to Donald Trump. The president-elect may not be chock-full of ideas about health-care policy, but he has the right political instincts. He has said that Obamacare should be replaced, that its beneficiaries should not simply be stripped of coverage, and that people with pre-existing conditions should be protected. It is possible and desirable to devise legislation that meets these objectives. Trump has also warned congressional Republicans to be careful — and he is right about that, too, because their current course does not look likely to accomplish the repeal of Obamacare or its replacement by something better….

The core of a conservative replacement of Obamacare — a replacement that is simultaneously a repeal — would be the end of the federal government’s role as chief regulator of health insurance and the restoration of the states to that position. Simplify the tax credits, pare them back if possible, and allow them to be used for any insurance policy that meets these two conditions: The policy meets the approval of state regulators, and people who maintain coverage can continue to buy such coverage at the same price if they get sick. People would have much more freedom to buy the coverage that meets their specifications rather than those of Washington regulators; they would have the means to buy basic coverage; and they would have the incentive to do it as well (since maintaining coverage would protect them in the event they got sick).
 
The mandate to buy insurance — a mandate that came into existence in order to counter the side effects of Obamacare’s onerous regulations — should simultaneously be abolished. And most people on Medicaid should be given the option to cash out their benefits and buy insurance on the regular, private market.
 
Too many congressional Republicans think that conservatives will take a quick but phony win on health care. We disagree. A real win is worth the time and effort.

Rich Lowry — Rich Lowry is the editor of National Review. He can be reached via email: comments.lowry@nationalreview.com. 

Most Popular

Elections

The State of the Race for the House

Way back in January, I went through the then-34 seats where a Republican incumbent was retiring and concluded that most were in deeply red districts and not likely to flip to Democrats. Pollsters and media organizations are less inclined to conduct surveys of House races, both because there’s less public ... Read More
PC Culture

Warren Is a Fraud

Senator Elizabeth Warren (D., Mass.) has been telling a story for years. It’s a deeply romantic story about her parents and their young love, fraught with the familial bigotry of an earlier time. Here’s how she told it this week in a video she released in preparation for her 2020 run: My daddy always said he ... Read More
U.S.

Two Minnesota Republican Candidates Assaulted

Two Republican candidates for state office in Minnesota have been physically assaulted in recent days, leading prominent Republican lawmakers to caution their Democratic colleagues against employing inflammatory rhetoric. Republican state representative Sarah Anderson was punched in the arm last week after ... Read More