GOP's AHCA aka Trump-RyanCare

[finnbow]

Originally Posted by whell

No.

Leaving the ACA in place as is - not an option. Even the Dems acknowledge that.

"Fixing the ACA" - I don't think its an option, not without pouring billions into it. ACA never attacked the underlying issue of cost of care anyway, so it was as flawed from the outset. I'm also not aware of any credible plans that Dems have put forward to "fix" the ACA. The Dems are right where the Repubs were a couple years ago, without a substantive answer to the question: Where's your plan?

The bottom line is that any GOP plan will be a employer-provided fee-for-service plan, as Obamacare was forced to be because of resistance at the time to single-payer. Anything else (complete repeal of Obamacare or single-payer) is a bridge too far for the GOP.

The only party with a viable plan that represents true change to the system is the Dems with single-payer, but its enactment would represent an existential threat for many in the health-care industry (e.g., insurance, pharamaceuticals) and would thereby require huge bipartisan support, something it's not going to get in the near future. So, we're essentially stuck with tweaked Obamacare for the time being. The quicker the GOP recognizes and admits this, the better.