Don’t be fooled—the debate over whether to scrap the health care law is not yet over, and what appears to be merely a question of timing is about much more than that. Republicans will have to tread a careful path that balances a desire to abandon Obamacare as soon as possible with the need to respect the reality that the complexities of changing the system will persist well beyond any near-term bill signing ceremonies. It’s true that widespread, sudden disruption of existing health insurance arrangements could short-circuit a workable transition to more market-oriented and less Washington-centric health policy reforms. While the risk of ending up on the merry-go-round of ACA replacement proposals lacking sufficient support, depth, or effectiveness is real, there are risks posed by the opposite reaction: the desire for quick and simple repeal.

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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.

The ACA’s biggest error was broadening a detrimental misapplication of health insurance that began decades ago. The point of insurance is to reduce risk of financial disaster. Instead, with its long list of mandates and regulations, the ACA furthered the inappropriate construct that insurance should subsidize all medical care and minimize out-of-pocket payments. The ACA’s coverage requirements directly caused more widespread adoption of bloated insurance. When combined with invisible health care prices as well as doctor qualifications, most patients have virtually no incentive and lack sufficient information to consider value; similarly, providers don’t need to compete on price. The consequences are the overuse of health care and unrestrained costs. Health Savings Accounts (HSAs), tax-sheltered accounts for smaller health expenses, are a critical component of reform, because they motivate direct consideration of price. Better than simple tax deductions, HSAs also incentivize saving.

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Rising health care costs have become the hallmark of a partisan Obamacare law that was sold with promises to lower them. The Obama White House just announced that health care premiums will rise again this year for millions of Americans by an almost unbelievable 25% under Obamacare. And that’s just a national average. Many Pennsylvanians face hikes in their health premiums as high as 55%; Oklahomans up to 69%, and Arizonans as much as 116%.

Behind these numbers are the stories of families and individuals struggling just to make ends meet already.

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President Barack Obama leaves the White House in 12 weeks, but the law that bears his name will polarize politics long after he’s gone.

Big price hikes to Affordable Care Act premiums announced this week mean that Obama’s proudest legislative achievement will fail to resolve the decades-old controversy surrounding the government’s role in managing the cost of and access to health care.
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Prices for medicine, doctor appointments and health insurance rose the most last month since 1984. The price increases come amid a broader debate about climbing health care costs and high premiums for Obamacare coverage.

A recent report by Kaiser/HRET Employer Health Benefits forecasts that the average family health care plan will cost $18,142, up 3.4% from 2015. That’s faster than wage growth in America.

Medical care costs altogether rose 1% just in August from July, according to the Consumer Price Index, a report on price inflation from the U.S. Labor Department.

Premiums on the Obamacare exchanges are expected to rise by double-digits this year.

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Donald Trump on Wednesday laid out for the first time how he will reform the U.S. health care system after repeatedly pledging to “repeal and replace Obamacare with something much better.”

Trump published a seven-point health care reform plan that calls for repealing Obamacare, breaking down state barriers that prevent the sale of health insurance across state lines and making individuals’ health insurance premium payments fully tax deductible.

The reforms, which Trump calls “simply a place to start,” are aimed at broadening access to health care, making health care more affordable and improving the quality of care, according to the plan published on Trump’s campaign website.

Two years ago, the Obama administration called the near-total, initial meltdown of the ObamaCare federal exchange a technical “glitch.” The term was widely ridiculed at the time, especially since it took weeks to fix the exchange’s website, healthcare.gov.

At Saturday night’s Democratic debate, front-runner Hillary Clinton called soaring health care costs and deductibles “glitches” resulting from the Affordable Care Act.