Judging by appointments to top posts in health care, the incoming Trump administration is on course to validate its campaign promise to “repeal and replace” the Affordable Care Act. Despite the emphasis by many on preserving secondary parts of the law like maintaining children up to age 26 on the parent’s coverage, Americans should understand that the ACA indeed must be eliminated. Why? Because its misguided amalgam of regulations generated skyrocketing insurance premiums, reduced choice of doctors, funneled millions more poor people into substandard programs and accelerated consolidation throughout the health care industry– serious consequences directly harmful to patients.
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When the 115th Congress convenes in early January, they’ll waste no time before launching an assault on key parts of President Barack Obama’s signature health care reform law. A bare-bones budget resolution acting as a vehicle to dismantle the Affordable Care Act will get a House floor vote the week of Jan. 9, according to a memo from Rep. Greg Walden (R-OR), the incoming chairman of the House Energy and Commerce Committee, CQ Roll Call reported. That means the Senate could take up and pass the budget resolution during the prior week.
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James, C. Capretta, resident fellow at the American Enterprise Institute and health care policy scholar, answers questions about why Obamacare isn’t working and how those on left and the right aim to alter the health care law. Capretta says, “[Republicans want to] retain the employer-based health insurance system and change the structure of the regulations involving the non-group market that’s now covered by the ACA. They’d have subsidies, tax credits for people outside the employer system to make sure everybody in the United States could get health insurance if they wanted it. This mirrors a proposal that was introduced a couple of years ago by Senator Hatch, Senator Burr, and Congressman Fred Upton. That plan looks a lot like a House’s “Better Way” health care plan. I would say that the leading contender for what would be a replace is somewhere in the universe of those two types of plans.”