Economics, Pethokoukis

In search of … a GOP alternative to Obamacare

More of this, please:

A Republican doctor on the House Ways and Means Committee encouraged his colleagues Thursday to produce meaningful legislation to replace the Affordable Care Act in the next session of Congress. “It’s incumbent upon us to put forward positive, alternative solutions,” Rep. Tom Price (R-Ga.) said at a POLITICO Pro P2012 breakfast panel discussion.

Price has a plan. But so does AEI’s Tom Miller. In addition to recommending premium support reform for Medicare, Miller would convert the current tax preference for employer paid premiums into a refundable, universal credit for the under-65 population. “Every American household could use the credit when they purchase health insurance. The likely average value of the credit might approximate the current average tax subsidy for job-based coverage—in the range of about $5,000 to $6,000 per family.”

Again, the method here is to use markets, choice, competition, and price discovery to achieve universal coverage in a fiscally sustainable way.

7 thoughts on “In search of … a GOP alternative to Obamacare

  1. Yes and no. The problem here is that Health Care has been tied to Health Insurance. Once that occurs the direction is simple. The masses will require more and the gov’t intervention is a step away from that. You will always need HC, but insurance is meant to be a hedge against the high possible cost of a major health cost by the low chance of it occurring. So long as we tie HC to HI we will always lose.

    • Excellent point.

      I have always marveled how people will go ballistic over a $50 co-pay for a doctor’s office visit, but it’s “ces’t la vie” when you fork over hundreds of dollars for a new water boiler.

      I would gladly accept a plan that allows me to shoulder normative costs without insurance getting involved, (which should theoretically lower costs) and retaining a solid measure of coverage for those episodes where I might REALLY need it. I have never seen one insurance company sculpt such an option.

  2. Jim, this does nothing. I’m self employed so I write off my health insurance, which was just jacked up AGAIN.

    (I would LOVE to see just WHERE these rising price inputs are coming from after all this time)

    If I worked for someone, I would generally split the cost with the employer- the employer writes off HIS share of what he lays out for his workers as an expense.

    So there is, in effect, a “credit” in place already.

    What we need to do is repeal the protected turfs of the health insurance companies and let them REALLY compete.

  3. This tax credit for purchasing your own insurance was presented by John McCain in 2008. He was ridiculed by the media and Democrats.
    Yes, you need to separate health INSURANCE from health care. Obamacare puts both under the watchful, wasteful eye of govt in Washington. Plus, Obama is paying doctors (and hospitals) so little now under Medicare and Medicaid, that many cannot afford to see any of those patients. And Obama and the Dems have further cut payment to doctors with their stealing $716 Billion from Medicare to fund Obamacare.
    Let the employer keep the deduction, if they so choose. But give employees a better choice of plans and, most importantly, give them flexible medical accounts and a tax credit for buying insurance.
    Doctors (except concierge practice internists, FPs, dermatologists, and plastic surgeons) are being assaulted (and have been for years) by insurance companies, as the company owns the patient, the doctor cannot negotiate fees or bargain collectively, and the insurance company tells the doctor what they will pay. Take it or leave it.

  4. Seems to me the ship has sailed, and the Rs prior to embarkation had nothing to contribute but obstruction. Now you want a do-over?

  5. re: “do-over”… exactly.

    If the GOP was really serious about the REPLACE part of REPEAL, Mitt Romney could have run on that competitive alternative and perhaps won…

    the GOP is all talk and no go… whether it’s about health insurance or the budget or immigration … Blather-butts.

    I mean they are the ones blathering about a spending problem so WHERE is their list of cuts they advocate ?

    How can you say we have a spending problem and then tell the other guy to come up with cuts?

    these guys are feckless lard-asses.

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