There’s no Repeal in Repeal and Replace.
I trust Pres. Trump to do the right thing, that’s why I voted for him. Really, he’s our last hope.
1. Repeal. Burn it to the ground, effective December 31, so that current plans can continue until expired, and people have time to transition. How much time did they give us when it passed?
2. Eliminate employer tax deduction. Provide individuals with tax deduction for all health care expenses, whether insurance or on a deductible or for uncovered care.
3. Make insurance market interstate. Allow people to join groups for better negotiating position, such as employees of big companies or citizens of a certain city or members of Costco. Whatever. Employment is fluid and not the best place to put the health of citizens.
4. If (and I am not a fan but it might be something needed to mollify the RINOs) you want to be a big kinder gentler Republican, you can have a program to subsidize health care directly to poor people, the ones who this whole charade was supposedly about. You can set up programs at hospitals and clinics where with a card they get health care directly. Or you can subsidize their insurance, in conjunction with state welfare programs, whatever. It would cost a tiny fraction of what Obamacare cost the country.
What else do we need to do? Tort reform, look into pricing on drugs and procedures, work on getting health care back to a free market. Incidentals that can all be addressed later and that don't need to delay action now. Even Trump's inner city programs are involved, because if you give people education and get them out of the Democrat plantations, they will have the money to make their own choices.
Ryan wants to prove that he is smarter than Obama, that he can create a huge government bureaucracy that is a little better. Big deal. That has been the trap of stupid Republicans ever since the welfare state came into existence. We need to blow it up at the foundations.