Only 37 percent of
Perhaps the biggest problem with the Republican replacement plan is not that it fails to advance either conservative or liberal aims--it's simply impractical. It would shift some costs from the federal government to those least able to afford health care but without substantially driving down costs for the rest, while substantially increasing costs for some, older Americans in particular.
In a column Saturday,
Ryan has long touted himself as a devotee to free market principles, but the Republican proposal seems like a case of political expediency. It sidesteps conservative calls to refashion health care into a consumer-driven enterprise, and instead of injecting transparency into the health care process, it would keep in place a monopolistic system catering to the wants of large health insurance companies and health care providers, ultimately leaving these two entities in control of deciding which services to provide and cover and at what price.
The Republican plan largely preserves Obamacare, except that it eliminates safety nets for many people, either by reducing subsidies or cutting off the most vulnerable from critical services, such as women's reproductive health care at
For directing so much ire at Obamacare the past six years,
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