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The Republican Offer On Health Care Remains Worse Than Nothing

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Paul Ryan would repeal the ACA and not even replace its most popular provisions, using logic that makes clear that he opposes doing anything for the many millions of uninsured this would create:

Democrats are jumping all over Paul Ryan for telling Bloomberg TV that if Republicans repeal the Affordable Care Act, they won’t reimplement Obamacare’s popular requirement that children can stay on their parents’ health insurance plans until they’re 26.

I don’t have a full transcript, but the quote in this Washington Post story actually reveals a great deal more about Republicans’ post-Obamacare health policy than their possible opposition to insuring young adults.

“If you look at these kinds of reforms, where they’ve been tried before — say the state of Kentucky, for example — you basically make it impossible to underwrite insurance. You dramatically crank up the cost. And

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you make it hard for people to get affordable health care.”

People who follow health care reform closely will correctly note that there’s nothing new here. But for those who don’t, Ryan’s focus on underwriting, not an allusion to so-called “young invincibles” is the key tell. Because underwriting is the main mechanism insurers used to practice price and coverage discrimination against people with pre-existing conditions.

Bobby Jindal makes no pretense of caring about the millions of people he would deny insurance to:

To be sure, there is more to Jindal’s plan than to repeal Obamacare and then drink cocktails made from the tears of the uninsured. But there isn’t much more. Jindal proposes to tinker with the tax treatment of health benefits, but without going far enough to either provide real funds to purchase insurance to individuals or to disrupt employer-based insurance. There’s the usual bit about letting insurers sell plans across state lines, which means letting the state most willing to allow insurers to cherry-pick healthy customers set national regulatory standards. He urges a focus on cost containment, which was a mantra of Republican opposition to the bill in 2009 and 2010, and had faded since

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health-care inflation has fallen to a 50-year low. Citing cost containment as the rationale to repeal a law that has at best created, and at worst coincided with, the most positive cost containment news in modern history is more than a bit perverse.

Having said that, I’m not sure that we should consider the most recent Republican candidate for vice-president and a current Republican governor looking to run for president to be representative of Republican positions on health care reform. Perhaps more relevant are dead senators from Rhode Island, governors in states with huge Democratic supermajorities, stuff like that there.

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