Capitol Hill Blue Forums Political Issues Politics In General GOP at war with itself on health care

The Republican/conservative problem is predicated on the fact they never wanted anything to do with any plan involving health care (insurance). But ACA made it impossible for them to ignore. Thus they had to devise an ideological plan in an attempt to address health care (insurance).

Ideologically they had to remove government from the equation and thus they have to formulate something based on the "free market". The problem is the "free market" never found a solution for people who are too poor to afford the high cost of insurance or emergency health care. Now Republicans/conservatives believe? they can provide a solution.

The CBO score characterizes the Ryan/Trump plan for what it is i.e. no government involvement. Thus people will loose insurance through either lack of affordable plans or forced ending of medicaid. Of course the plan will save $337B/10 yrs since they have removed government payments/taxes. Of course the cost of insurance will go down because only healthy people will remain in pool.

The Republican/conservative rebuttal is better coverage. So what they want to sell are plans in which there are low deductibles at very affordable prices. They believe a carrier in SC will offer a plan to someone in Utah at lower costs than local health care costs. No company would do that but they would where they could make money. Thus the local market determines plan prices regardless of where one buys it.

Free market competition does not drives prices lower than health care costs. If health care cost drivers continue to rise, plan prices will rise commensurately. I have not seen anything in the Republican/conservative plan which addresses health care cost drivers, other than to say free market competition will force the costs lower.

Every plan must have three things to achieve the basic goal of affordable "universal" health care.
1. the itemized list of no pre-existing, no caps, etc
2. a large pool of healthy people who are required to maintain a plan
3. programs to cut health care cost drivers

Notice this does not have to be a government operated program, but it does have to be government instituted.

I am thinking of an organizational change to implement universal health care. Create a single group with an algorithm to apportion buy in and share profits, with flexibility for changing composition. A single group would reduce organizational overhead. Offer single priced comprehensive plans with national coverage. Create a board for intelligent medical procedures. Create a plan for increasing medical personnel to adequately cover rural and urban centers. Everyone must buy a plan.

Just rambling spitballing