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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Hillary said on Tuesday: “We got to fix what’s broken and keep what works, . . . We’re going to tackle it and we’re going to fix it.” Secretary Clinton is exactly correct — if by “fix” she means enacting a proposal that could line the pockets of businesses to the tune of nearly a trillion dollars while simultaneously jacking up premiums and deductibles for millions of Americans. Hillary Clinton’s plan for a new federal tax credit to subsidize out-of-pocket costs for all Americans will encourage businesses to make their health benefits skimpier — raising premiums, co-payments, and deductibles — because they know that the new tax credit will pick up the difference for the hardest-hit families.

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