Since the election, however, he has dropped clues: He said he favored maintaining at least two popular Obamacare benefits: Americans shouldn't be denied coverage based on pre-existing conditions. And parents should be able to cover dependent children up to age 26.
For that to work, many young, healthy people who have snubbed Obamacare will have to sign up for Trumpcare. That's the challenge for Trump and
Millions of Americans -- including us -- won't mourn the passing of the expensive, complex and ultimately unworkable Obamacare law. But just as the demolition of a large building must be carefully planned and executed, so too must the dismantling of Obamacare. Millions of Americans rely on it for coverage. Tossing them off the rolls without offering them something better is cruel and invites a political backlash.
One big clue: Earlier this year, House Speaker
The grid of metal-based options (gold, silver, etc.) would yield to a more flexible system that allows insurers to offer products and pricing geared to consumers' desires, not bureaucrats' diktats. The plan would ratchet up competition among insurers, in part by letting them offer policies across state lines, one of the few specific fixes Trump has advocated.
And it would curb Americans' ability to game the system, buying coverage only after they get sick and need expensive care. The
The Ryan plan also would scrap subsidies geared to income. Instead, Americans would be eligible for tax credits to help finance their insurance purchases on the open market. Everyone who couldn't gain coverage via an employer plan would be eligible for the credit. Again, the key here is flexibility. The goal should be to allow people to buy, at minimum, a plan to cover catastrophic health problems. The
Those were Ryan's broad outlines. We expect Trump, Ryan and
Trump the businessman knows: If a product appeals to people, they'll buy it. Let the rebuilding of Obamacare begin.
Join the discussion on Twitter @Trib_Ed_Board and on Facebook.
(c)2016 the Chicago Tribune
Visit the Chicago Tribune at www.chicagotribune.com
Distributed by Tribune Content Agency, LLC.