CQ Roll Call June 18, 2013 | Register

How Republicans Should Proceed on Health Care

Avik Roy, a former adviser to Mitt Romney on health care, acknowledges that President Obama’s health care reform law is here to stay and that Republicans will need to work within the new landscape to push conservative reforms.

“Step One of this new strategy would be to improve the market orientation of Obamacare’s insurance exchanges. The exchanges are larded with excessive mandates and regulations that will drive up the cost of their insurance products… red states shouldn’t feel obligated to hew to Obamacare’s restrictions.”

“Step Two would be to move Medicare patients into Obamacare’s exchanges… Step Three would be to accept that many employers will move their workers onto the exchanges… Step Four would be to move the Medicaid population into the exchanges, starting with higher incomes and working down to lower ones.”

  • http://mediajunkie.com/ xian

    OK, so suddenly Avik is in love with all the market mechanisms in Obamacare (thanks Heritage Foundation!), but still advocates selective nullification of Federal laws: “red states shouldn’t feel obligated to hew to Obamacare’s restrictions”

  • Lorehead

    He has something of a point with some of his ideas; like those of us saying that there should be a public option or Medicare buy-in for young people, having such completely different systems for old people and poor people doesn’t make a whole lot of sense. We should be having a debate about whether it would be better to have Medicare or Obamacare for all.

    If he’s talking about a deal to bring this about, what do the Democrats get in return?

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