Posted on 08/19/2015 12:48:00 AM PDT by Cincinatus' Wife
Wisconsin Gov. Scott Walker is jump-starting a debate on ObamaCare with the hope of getting out in front of his GOP rivals on one of the party’s toughest topics.
Walker on Tuesday became the first leading presidential candidate to put forward a detailed replacement plan for the healthcare reform law, a move that will put pressure on his rivals to release their own plans. Louisiana Gov. Bobby Jindal (R), who has trailed in the polls, is the only other candidate with a full plan, which focuses on grants to states.
The move could give Walker an edge with conservative voters in Iowa, where he needs a strong result in February’s caucus votes to solidify his campaign. A few weeks ago, Walker polled as the favorite in Iowa, but his lead in polls has evaporated as Donald Trump pulls ahead.
“Certainly, any time a presidential candidate comes out with a real plan, it creates pressure on other campaigns to do the same. And that is a very good thing,” said Dan Holler, communications director for the conservative group Heritage Action.
Repealing ObamaCare remains a top priority for grassroots conservatives. Sen. Marco Rubio (R-Fla.) released the outline of a three-point plan but has not provided details. Other candidates have not yet made clear their positions on healthcare policy.
The GOP field reacted to Walker’s proposal cautiously, with only Jindal offering a statement.
He blasted Walker’s proposal, arguing that he is merely setting up a new entitlement program to replace ObamaCare.
“Governor Walker endorsed the fundamental underpinning of Obamacare – the notion that America needs another entitlement program,” Jindal said. “It is frankly shocking that a Republican candidate for President would author a cradle to grave plan like this.”
Shortly after unleashing criticism of Walker's plan, Jindal challenged him to a debate on the topic.
"The Governor is happy to have this discussion in person with Governor Walker. He would debate him on health care any time," spokeswoman Shannon Dirmann said.
Walker’s proposal would repeal all of ObamaCare, dismantling its federal healthcare exchanges and eliminating the tax credits now provided for people to buy health insurance policies. It would replace them with a system that doles out federal dollars based on an individual’s age, instead of income.
For example, a person between the ages of 18 and 34 would receive $1,200, while a person between the ages of 50 to 64 would receive $3,000. The tax credits would only go to people without employer-sponsored coverage.
Unlike ObamaCare, his plan would also allow groups, such as small businesses or farmers, to band together to negotiate lower rates and allow all individuals to purchase coverage across state lines.
States would also be on the hook for certain Medicaid reforms, a program which he said had absorbed most of the country’s new healthcare customers under ObamaCare. Walker promised to move away from the current “open-ended matching program,” and instead create a specific state contribution.
Most of Walker’s ideas are recycled from previous conservative proposals, but his attempt to get out in front of other candidates is a smart move politically, said Tom Miller of the conservative American Enterprise Institute.
“I’m not really surprised by anything he said, but he put it all together and he put it out first, which means other folks have to say, ‘That’s OK, and I’ll do that too,’ or they’ll have to make marginal differences from one another,” said Miller, who advised 2008 Republican presidential nominee John McCain on healthcare.
“Most of what other Republicans will say will be variations [of Walker’s plan],” Miller predicted.
Yet Jindal was not the only voice critical of Walker’s proposals, highlighting the danger of tackling healthcare policy.
Avik Roy, a prominent conservative healthcare expert who advises former Texas Gov. Rick Perry’s presidential campaign, wrote in Forbes that Walker is “largely unclear” on how to pay for his plan.
The price of the tax credits Walker is proposing, several conservatives said, could be high.
Walker declared his plan would be cost-neutral, pointing to savings from capping federal Medicaid payments to states and taxing high-cost health plans. But the Congressional Budget Office has warned that repealing ObamaCare would increase the deficit by $137 billion over 10 years.
Roy expressed doubt Walker could cover the costs.
“The point is, it’s easy to promise to expand coverage or replace Obamacare. What’s hard is paying for it in ways that are politically viable,” Roy wrote.
AshLee Strong, a Walker campaign spokeswoman, countered criticism by saying conservatives are giving the plan “rave reviews” and have supported the kind of tax credits Walker proposes.
“The refundable health care tax credits the governor includes have been supported by many conservatives because they put health care decision making in the hands of the American people where it belongs,” she said in a statement.
Indeed, most parts of Walker’s plan, dubbed the Patient Freedom Plan, are similar to other Republican healthcare proposals.
The system of age-based tax credits is similar to a 2014 plan created by Sens. Orrin Hatch (R-Utah), Richard Burr (R-N.C.) and former Sen. Tom Coburn (R-Okla.), as well as a plan from House Budget Committee Chairman Tom Price (R-Ga.).
The current law bases its tax credits on income and gives poorer people a boost.
Walker's plan "would be quite a bit more generous for higher-income people than the ACA [Affordable Care Act], but provide much less help to the poor,” said Larry Levitt, vice president at the Kaiser Family Foundation, which does nonpartisan health analysis.
Walker’s plan is also similar to other Republican plans in that it prevents discrimination against people with pre-existing health conditions when they are switching plans but not when they are looking to get coverage. To help those people, the plan would give funds to states for high-risk pools that allow people with pre-existing conditions to buy government subsidized coverage, another common Republican idea.
In contrast, ObamaCare bans discrimination based on pre-existing conditions for all people and mandates coverage to prevent anyone from waiting until they become sick to buy insurance.
The broader plan also resembles the Patient Freedom Bill drafted by Sen. Bill Cassidy (R-La.) earlier this year. Some parts, including a focus on health savings accounts and allowing people to buy coverage across state lines — are also included in Jindal’s ObamaCare replacement plan.
Yuval Levin, a National Review columnist who specializes in healthcare, praised Walker’s plan. He argued it creates through its tax credits a baseline of minimal catastrophic coverage and then allows for a market for more coverage if people want it. He said that contrasts with ObamaCare, which creates bloated plans with high out-of-pocket costs by requiring them to cover a wide range of benefits.
“I think it’s the most substantively and politically serious conservative health care reform we have yet seen from a presidential candidate, and hopefully it will spur some more to come,” Levin wrote.
This story was updated at 6:14 p.m.
PDF [15 pages]: THE DAY ONE PATIENT FREEDOM PLAN outline.
Walker aint shakin squat. Too bad though. He seems to be the stealth CoC candidate.
LOL, he’s “shaking up the GOP Field.” Tomorrow we’ll be talking about Trump and immigration
Didn’t this just get posted by you? Do we need to repeat our same comments about how Walker is simply too-little, too late. He’s lost out, should drop out.
Stealth CoC is probably right. He stay in to be their flavor of the week as the others start dropping out. Won’t make him any more viable. Guess as long as he’s got some money to travel, he’s got the forgotten day job as governor to pay the family bills. Guess he’ll be around for a bit down at the bottom of the polls.
LOL At least Walker is trying. Gotta give him credit for that.
He “tried” in Wisconsin too.
The defanged union bosses hate him.
I don’t doubt that at all. I just wonder what will happen to WI once Walker leaves office. Will it go back to a DEMOCRAT governor who will change the things he has done?
Scott Walker was elected Governor in 2010; he took office in Jan 2011; he survived a recall election in 2012, then went on to be reelected in 2014.
It’s apparent that a majority of people in Wisconsin like his conservative policies and governance.
He’s moved Wisconsn into the Red column (where so many state governorships and legislatures have gone).
Like Ohio, though - the state of WI went blue for the presidential election. Like Ohio, the urban cities carry the vote. I really think this needs to be changed to the candidate that carries the majority of the counties should get the electoral votes. (I live in OH, in case you didn’t know).
Walker has done very well in Wisc. His record of statements on illegal aliens is very questionable. I’d vote for him over H->, unlike my response to candidate ¡Yeb!
I could vote for Walker if he got the nomination. He’s still in my top 3. The others - MEH!
Any conservative plan would start with repealing the mandate.
People can say anything but actions tell more.
Congress has to repeal it.
Walker will revoke Obama’s EOs and place Congress critters under all of Obamacare dictates.
His “reforms” on the UoWisc Prof tenure rulz are progress too.
Walker knows where the liberals have burrowed and he’s successfully begun to dismantle what funds them.
Congress is Republican, with many elected because they promised to get rid of Obamacare. I can't imagine anything that would rally voters more than dropping the mandate but having a government-regulated program as a choice.
As far as those who can't afford health care, why not clinics? Cost would be based on ability to pay, with everyone paying some minimum. With more people looking for inexpensive alternatives, innovation in that direction would occur.
I think clinics competing for customers would be far better than Obamacare.
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