The consensus is the ACA failed to reduce healthcare costs.

If we are to make healthcare affordable for everyone, the answer is not going to come from a President Hillary Clinton or a President Donald Trump. Instead, the solution can be found if we send healthcare back to the states where experimentation and innovative public policies can take place focusing on utilization and waste in healthcare.

It is there that we can look to states already on the move. Florida, Georgia, Tennessee and Alabama are considering a bold concept to reduce waste by reducing the need to practice of wasteful, defensive medicine.

Defensive medicine is any type of medical practice to avoid litigation such as tests, scans, medications and procedures.

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Obamacare will likely see a “significant slowdown” in enrollment next year, a Thursday analysis from S&P Global Ratings projects.

The report suggests effectuated marketplace enrollment will range between 10.2 million and 11.6 million in 2017. The analysts say their forecast “is clearly a bump in the road, but doesn’t signal ‘game over’ for the marketplace.”

“The marketplace would benefit from growth in enrollment, especially if it helps improve the morbidity of the risk pool. But 2017 will likely not be the year the marketplace sees significant expansion,” the report says.

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Obamacare was supposed to reduce health expenses for Americans, but that’s not how it’s working out.

Although many have benefited from government subsidies or the ability to buy insurance, health-care costs continue to rise and eat up a bigger percentage of household budgets.

In a recent though little-noticed study, economist Ann C. Foster at the Bureau of Labor Statistics found that health costs made up a record 8% of an average household’s budget in 2014, the last year for which data is available.

That’s a 40% jump compared to 10 years ago, and a 21% increase since 2010, the year the Patient Protection and Affordable Care Act was passed. Parts of the law were implemented shortly afterward but it wasn’t until 2014 that most of it took effect.

Minnesota’s Democratic governor said Wednesday that ObamaCare “is no longer affordable” for many people.

“Ultimately … the reality is the Affordable Care Act is no longer affordable to increasing numbers of people,” Gov. Mark Dayton said, according to a transcript provided by his office.

Democrats have long acknowledged that improvements need to be made to the health law, but Dayton’s remarks go farther and are more negative than usual from members of his party.

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More than 50 fiscally conservative groups are asking Congress to prevent the Obama administration from giving insurers “bailouts” for their Obamacare losses.

Congress should take two steps toward that end, according to a letter sent Wednesday by Freedom Partners and dozens of other groups.

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Ever since the Affordable Care Act’s insurance marketplaces opened for business in 2014, the Obama administration has worked hard to get Americans to sign up. Yet officials now are telling some older people that they might have too much insurance and should cancel their marketplace policies.

Each month, the Centers for Medicare and Medicaid Services is sending emails to about 15,000 people with subsidized marketplace coverage. The message arrives a few weeks before their 65th birthday, which is when most become eligible for Medicare.

When asked by a voter during Sunday night’s presidential debate what she would do about skyrocketing costs under Obamacare, Hillary Clinton praised the law’s expansion of coverage, and also vowed to “fix” the problems with the law to get costs under control. However, her plan for fixing Obamacare, far from solving its problems, would make many of them worse.

Broadly speaking, Clinton’s proposals boil down to increasing the amount that the federal government subsidizes and regulates healthcare. But Obamacare is rooted in the regulate and subsidize approach, and what has happened is that the regulations have driven up costs and even the hundreds of billions in subsidies aren’t enough to chase those higher costs.

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The problems emerging in the exchanges are a symptom of a larger disease, which is that the ACA moved far too much power and regulatory control over the health sector to the federal government. Building a broader consensus around reform of the individual insurance market will almost certainly require revisiting other fundamental aspects of the ACA that have sharply divided policymakers.

The ACA exchanges will not be able to continue indefinitely without substantial reform. But reform will only be possible if the American public believes that this will not merely be another intrusion into their personal health decisions and their wallets. It will be up to Congress and the next President to decide if America’s health care system is worth the political risk needed to enact responsible and necessary reforms.

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A House Republican is circulating a letter among his colleagues urging Speaker Paul Ryan (R-Wis.) to sue the Obama administration to prevent millions of dollars in legal settlements with ObamaCare insurers.

The letter from Rep. Chris Stewart (R-Utah) says a lawsuit should be initiated to prevent a potential payout from an obscure legal fund at the Treasury Department.

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Mr. Trump might consider that his silence is doing damage to more than simply himself. Across the country, Republican candidates are facing voters angry about health care. It would help immensely if they could argue that repealing ObamaCare would be the pressing priority of a Trump administration. After years of having President Obama halt every GOP attempt to patch the law’s holes, this is an extraordinary moment in which the party can tantalize voters with the hope that the nightmare might end.

But to do that, Mr. Trump has to capitalize on one of the greatest political gifts any presidential candidate has ever been given.

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