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Whenever universal or single payer health care is mentioned, those on the right always say "Oh, it'll be terrible, free market always better!". So let's do a test. Here's my replacement for the ACA

(a) We're going to start with doubling the expansion of Medicaid, paid for with other savings from ACA and, if necessary, excise taxes on pharmaceutical company profits. This doubling may not be necessary going forward, but we're priming the pump.

(b) Under the ACA, those up to 250% of the poverty line are eligible for Medicaid coverage. Those people will remain covered. For those above 250% of the poverty line, people may purchase Medicaid coverage. The rate will be the average cost for covering per person, plus 10%. However, a person's (or family's) premium will be capped at 10% of their after-tax income.

(c) Six months after this program is enacted, much of the ACA (other than the expansion of Medicaid) ends. No more subsidies, no more required benefits, no more requirement to set premiums based on cost.

(d) Two requirements will be added to nationwide private health insurance policies. (1) Every plan must have a consumer-friendly clear-text description of exactly what is and isn't covered. (2) No more lifetime caps. Instead, insurance companies may specify a cap (cannot be less than one million dollars) which, when reached, increases the normal premium (up to an additional 100%).

(e) After a year, additional services will be added to Medicaid to cover missing aspects (dental care, eyeglasses, etc.)

It won't be a full check of single payer (no mandates so those temporarily healthy may not by in at all), but at least a check of "can the government provide good health care". So what do you say, Republicans, want to prove what you've claimed?

Posted on July 21, 2017, 4:01 pm

Donald Brown

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