Skip to comments.Obamacare Canít Be Fixed: Tweaking wonít help; the only solution is to repeal and replace.
Posted on 05/23/2014 7:59:44 AM PDT by SeekAndFind
Self-shackled with a tremendously unpopular overhaul of American medicine that they passed without a single Republican vote, Democrats are now clinging to the hope that voters will offer them a chance to fix what they have wrought. For three major reasons, however, that hope is likely to prove futile. One, Democrats have shown no genuine interest in fixing Obamacare. Their talk about fixing it is merely that: a talking point. Two, they have no ideas for fixing it (aside from adding another metal to the list of government-dictated insurance options). Three, and most important, Obamacare isnt fixable. Like a house thats horribly designed, shoddily built, and sitting on an uneven foundation, it isnt something that invites fixing. It invites tearing down, clearing the lot of the debris, and building anew using the blueprint from the right sort of conservative alternative (one that protects Americans existing insurance).
On the first two points that Democrats have no particular desire to fix Obamacare and no idea how to do so the groups American Commitment and American Encore have just released an effective short web video:
On the third point, Democrats fix-it rhetoric clashes badly with their earlier assertions about Obamacare. Before passage, Democrats described Obamacare as comprehensive legislation, whose complex component parts were so intricately intertwined that making substantial changes to them wasnt an option. On the eve of the health-care summit (where Paul Ryan had a few things to say to President Obama), Health and Human Services Secretary Kathleen Sebelius said, I think the president remains committed to the notion that we have to have a comprehensive approach, because the pieces of the puzzle are too closely tied to one another. Such comprehensive approaches call out for comprehensive repeal, not piecemeal fixes.
Moreover, what would Democrats try to fix? Perhaps the least popular part of Obamacare has long been the individual mandate its requirement that, for the first time in American history, private citizens must buy a product or service of the federal governments choosing, merely as a condition of living in the United States. What would happen if Democrats were to fix Obamacare by nixing this liberty-sapping mandate? Well, heres Obama adviser Stephanie Cutter, writing on the official White House blog and explaining what would happen:
The Affordable Care Act . . . bans insurance companies from discriminating against people with pre-existing conditions. However, unless every American is required to have insurance, it would be cost prohibitive to cover people with pre-existing conditions.
Heres why: If insurance companies can no longer deny coverage to anyone who applies for insurance especially those who have health problems and are potentially more expensive to cover then there is nothing stopping someone from waiting until theyre sick or injured to apply for coverage since insurance companies cant say no. That would lead to double digit premiums increases up to 20% for everyone with insurance, and would significantly increase the cost [of] health care spending nationwide.
So any Democratic fix would have to either (a) keep the hated individual mandate in place, (b) remove the ban on discriminating against people with pre-existing conditions, or (c) make Obamacare even more expensive. Republicans should ask Democrats which of these three theyd prefer.
The reason Obamacare cannot be fixed is that it is comprehensive. Its a comprehensive attempt to consolidate power and money in Washington at the expense of Americans liberty, funnel much of that money to Obamas insurance-industry allies, compel Americans to buy those insurers products, and send the tab for all of this back to a citizenry that never wanted Obamacare in the first place. How do you tweak that?
In short, the notion of a fix is fanciful. Obamacare is beyond repair. As Yuval Levin wrote shortly after its passage, Obamacare
is not even a liberal approach to escalating costs but a ticking time bomb: a scheme that will build up pressure in our private insurance system while offering no escape. Rather than reform a system that everyone agrees is unsustainable, it will subsidize that system and compel participation in it. . . .
Because Obamacare embodies a rejection of incrementalism, it cannot be improved in small steps. Fixing our health care system in the wake of the programs enactment will require a big step repeal of the law.
Thats exactly right. Obamacare cant be fixed, but the American health-care system can be and the first step in fixing our health-care system is repealing Obamacare.
Jeffrey H. Anderson is executive director of the 2017 Project, which is working to advance a conservative reform agenda, including a winning alternative to Obamacare.
Just repeal the damn thing, keep the government out of it and let me handle my own health care.
What is the Conservative alternative? No one will say.
What is the Conservative alternative? No one will say.
They’ll start pushing single-payer. I’ve heard multiple (liberal) nurses I’ve spoken with saying this is the only answer.
They just don’t get it.
The only solution is to repeal and NOT replace. Let private enterprise do its thing.
RE: What is the Conservative alternative? No one will say.
BURR, COBURN, HATCH UNVEIL OBAMACARE REPLACEMENT PLAN
Senate Republican Proposal Lowers Health Care Costs, Increases Access to Affordable, Quality Care Without Government-Centered Regulations, Mandates
Yes, Theres A Republican Health Care Plan: Bobby Jindals Plan
What the GOP needs to do is COALESCE around a plan and present it as a UNIFIED proposal to America ( much like Newt Ginrich’s CONTRACT WITH AMERICA in 1994 ).
RE: Let private enterprise do its thing.
THAT would be replacement.
If you want a pure private enterprise system, you have to replace MEDICAID.
Why replace? The healthcare industry, while not perfect, was certainly much better before the kenyan decided to "fix" it. Which reminds me - we need to repeal 0bama along with his 'care'.
We had a chance to defund it and republicrat ‘leaders” Shook in there Italian made shoes and started crying.
RE: Just repeal the damn thing, keep the government out of it and let me handle my own health care.
Well, that itself is a REPLACEMENT.
If you want to keep government out of it, you have to do away with MEDICAID. How is that not a replacement?
Fixed for the benefit of the good people at NRO.
RE: Why replace?
Don’t we want healthcare to be REALLY affordable for more people?
It wasn’t under the pre-Obamacare status quo.
RE: Fixed for the benefit of the good people at NRO.
I don’t think you can win this election by simply saying we want to go back to the way things were pre-Obamacare.
Precisely! There should no talk of “replace” in any area. Simply repeal and allow the free market to adjust.
The real problem we have seen is the increase of “customers” that —on entry to the healthcare market— cannot afford the costs (can you say illegal immigrants?). That is what overwhelmed the system and turned our Dhimmicrat-run government into “concern trolls”.
At some point, the individual can make a conscious decision to take advantage of the medical market place (or not). Cripes, G. Washington lived until 67 years-old, if he had the opportunity to access medical technology that would have added 5 more years to his life, he damn-sure would have paid for it out of his own pocket (my grandchildren are worth every penny I pay for health-care!)
Currently, our government champions “choice” yet routinely denies it in the marketplace.
The free market is a bad idea? I don’t think so.
The Democrats have Obamacare and the VA as their examples of government run health care. People want to make their own decisions and should be given the opportunity. There has never been a better time to run on a liberty-based platform in my opinion.
Conservative Alternative = Get the ferel government out of healthcare
So the Conservative idea is a heavy government subsidies, mandatory insurance coverage, no exclusions for pre-existing conditions, and keeping kids on their parents’ insurance through age 25.
Why does that sound vaguely familiar?
The costs have quadrupled under the 0bamacare, so what in hell makes you think that the morons in DC can come up with anything that will make it REALLY affordable for more people?
The real fact is that the majority of those in congress don't really care one way or the other. They only care about how it affects them economically or politically - who will give them kickbacks and what unions can corral votes to keep them on the gravy train.
Meanwhile they have their separate system than ensure that they have no death panels in THEIR future.
The free market, for starters. Vouchers for veterans too.
No. The only solution is to repeal completely, including the damned Clinton and Bush elements leading up to it.
RE: The costs have quadrupled under the 0bamacare, so what in hell makes you think that the morons in DC can come up with anything that will make it REALLY affordable for more people?
Here’s my take on it — if you want to convince the majority of Americans, simply saying you are going to repeal Obamacare and go back to the status quo WILL NOT WORK.
The fact is, most Americans DO WANT healthcare reform ( and by reform, they mean a change in what what used to be the status quo ).
Therefore, you have to REPEAL Obamacare, but you can’t simply stop at that.
So, REPEAL and REPLACE is the right way to go, not simply REPEAL.
RE: No. The only solution is to repeal completely,
Disagree. REPEAL *AND* REPLACE is the better solution.
RE: you have to do away with MEDICAID
Well, that is REPEAL *AND* REPLACE right there.
I’m not worried about the Dems .... I’m worried about Republicans not having the courage to REPEAL. I’m very worried about what the ‘replacement’ will be for Obamadeathcare .... if it’s anything politicians have cooked up, it may not be much of an improvement.
NOBODY should get medical treatment for free. The exception would be if charitable groups wanted to step in.
Medicare part A for Seniors who are already eligible is a different situation. It's the insurance we were forced to pay for...hospital coverage over the age of 65. FWIW, I'm not being a hypocrite; I didn't sign up for part B or the pharmaceutical program.
Well, I would argue it is REPEAL *AND* RETURN...but, okay.
RE: I’d much rather see a situation where the norm for those who don’t have doctors or insurance is private clinics. It would lead to better health care and inexpensive and natural treatments for everyone.
Well, if your preference were to be the norm, that in and of itself is not only a REPEAL of Obamacare, it is a REPLACEMENT of the healthcare system even PRIOR to Obamacare.
RE: Well, I would argue it is REPEAL *AND* RETURN...but, okay.
A RETURN to Medicaid the way it was on its way to bankruptcy?
Sorry, no dice.
RE: . if its anything politicians have cooked up, it may not be much of an improvement.
I think the Coburn, Burr, Hatch plan would be a good proposal to consider.
And now it is even less affordable unless you are sucking the government teat.
"You can't kill the beast while sucking at its teat"
-- Claire Wolfe
In any form it takes (either now or in the future) it will always BE a fraud on the public!
So if people don’t buy insurance, and then get sick, what happens? Under a free market system, they spend what money they have on their coverage and then when that’s gone, they die. That’s a coherent and rational plan, but not one that will win a lot of votes in a democratic republic.
Have it your way.
So exactly what does RETURN mean to you?
To me, It meant simply returning to the way it was WITHOUT any change.
If this is not what you meant, what is it then?
I think the Coburn, Burr, Hatch plan would be a good proposal to consider.
Ok .... I was being a little too general in my condemnation :-) I’ve heard of their proposal, just haven’t paid enough attention to it so I need to do some homework.
I don’t recall many if any reports of anyone dying under the system preceding obamacare. Not to say it was perfect, but it was a hell of a lot better than this.
Just wait until the current VA becomes the mainstream.
I’d rather have a foundation to build upon than have to come from the ground up, which this islamocommunist concoction will have us wishing we’d avoided it.
There may well be no coming back
Letting the mechanisms of a free market work in health care services would be the ideal solution. However given that a free market place does not (has never?) exist(ed) in health care, all regulation, licensure, accreditation, and insurance programs (Employer,Medicare,Medicaid) would have to be eliminated so that a free market could exist. Me thinks most voters would not buy into that.
I am amazed at people who think the government can make healthcare less expensive by creating a gigantic, incompetent, bumbling government bureaucracy that costs trillions of dollars to operate, staffing it with more inefficient government workers, inserting the bureaucracy and its complex and costly rules and regulations into the healthcare system between the healthcare providers and the patient, and dictating what the healthcare provider can and cannot do, and what level and kind of healthcare the patient can have.
Here is a detailed summary of their proposal for you to consider AND critique:
The system that preceded Obamacare had little resemblance to a free market! There is/was government involvement in every phase of the enterprise.
The pricing of medical services is based off of Medicare reimbursement schedules, even for non-Medicare patients.
The government subsidizes businesses providing insurance to their workers by making the expense tax-deductible, but does not allow private citizens to deduct the cost of their insurance, skewing the system to employer-provided insurance.
When a person has spent his money, in the current and pre-Obamacare system, he goes on Medicaid, the Federal healthcare plan for the poor. Presumably a “free-market” system that “gets the Ferel (sic) government out of healthcare” would do away with Medicaid.
It goes on and on. The free-market hasn’t obtained in healthcare since the invention of the polio vaccine
Most drug stores and retail that provide prescriptions seem prepped for it with some of the services they already offer. Hospitals such as Cleveland Clinic are also getting into providing relatively reasonably priced testing, vaccination etc at convenient locations.
If the 'pubs were really on our side, and not in the business of finding a way for their corporate sponsors to profit, they'd be say "Repeal and DON'T replace" Obamacare.
Tremendously unpopular say what deadly is more like it.
Return or replace...the tedious realm of conceptual semantics.
It takes a village to destroy a village.
If the overlords do not want it for themselves then we should not be forced to use obamacare. Vote all those that voted for it and those RINOs who support it OUT!