As Obama administration moves closer to meeting it original goal of enrolling 7 million people in the Affordable Care Act’s new insurance marketplaces, Rep. Paul Ryan (R-WI) has released a budget that repeals the law and asks Congress to “pursue patient-centered health-care reforms that actually bring down the cost of care by empowering consumers.”
And while this new Fiscal Year 2015 budget borrows heavily from previous versions, the April 1st release is far more critical of Obamacare. In a possible preview of the GOP’s election-year rhetoric, this year, Ryan warns — in almost apocalyptic terms — that the law “will undermine the private insurance” and “the competitive forces of the marketplace.” He even argues that it would “eventually lead to a single-payer system.” Here is a comparison between last year’s blueprint and Tuesday’s release:
Fiscal Year 2014: Repeal the health-care law’s exchange subsidies
The new law couples these subsidies with a mandate for individuals to purchase health insurance and bureaucratic controls on the types of insurance that may legally be offered. Taken together, these provisions will weaken the private-insurance market. Exchange subsidies take the health-care market in the wrong direction, breaking what’s working at a time when policymakers need to fix what’s broken. Government mandates will drive out all but the largest insurance companies. Punitive tax penalties will force individuals to purchase coverage whether they want it or not. Further, the law does not condone any policy that would require entities or individuals to finance activities or make health decisions that violate their religious beliefs.
This budget repeals the President’s onerous health-care law. Instead of putting health-care decisions into the hands of bureaucrats, Congress should pursue patient-centered health-care reforms that actually bring down the cost of care by empowering consumers.
Fiscal Year 2015: Repeal the Exchange Subsidies Created by the New Health-Care Law.
The new law couples these subsidies with a mandate for individuals to purchase health insurance and bureaucratic controls on the types of insurance that may legally be offered. Taken together, these provisions will undermine the private insurance market, which serves as the backbone of the current U.S. health-care system. Exchange subsidies will undermine the competitive forces of the marketplace. Government mandates will drive out all but the largest insurance companies. Punitive tax penalties will force individuals to purchase coverage whether they choose to or not. Further, this budget does not condone any policy that would require entities or individuals to finance activities or make health decisions that violate their religious beliefs. This budget provides for the repeal of the President’s onerous health-care law for this and many other reasons.
Left in place, the health law will create pressures that will eventually lead to a single-payer system in which the federal government determines how much health care Americans need and what kind of care they can receive. This budget recommends repealing the architecture of this new law, which puts health- care decisions into the hands of bureaucrats, and instead allowing Congress to pursue patient centered health-care reforms that actually bring down the cost of care by empowering consumers.
Interestingly, while Ryan goes to great lengths to criticize the ACA’s “government mandates” and and the supposed decision to leave “health- care decisions into the hands of bureaucrats,” he praises this very same kind of government-control elsewhere in the budget.
For instance, in discussing his plan to allow future retirees the choice of private insurance through his “premium support” proposal, Ryan promises that “the Medicare program and its benefits will remain as they are, without change.” For future retirees, Ryan proposes an Obamacare-like exchange that will feature private insurers providing Medicare-like plans. However, Ryan tasks the government with policing the plans private insurers offer “to avoid cherry-picking, and to ensure that Medicare’s sickest and highest-cost beneficiaries receive coverage.” Just four pages earlier, Ryan criticizes such government intervention in the exchanges.
Republicans have already voted to repeal the Affordable Care Act in full or in part at least 51 times and on Monday, House Speaker John Boehner (R-OH) doubled down on his commitment to hold more repeal votes. “House Republicans will continue to work to repeal this law and protect families and small businesses from its harmful consequences,” he said. “We will also continue our work to replace this fundamentally-flawed law with patient-centered solutions focused on lowering health care costs and protecting jobs.” House leadership has also pledged to introduce a unified alternative to the health care law, although they have not provided a timeline for drafting or debating that measure.