The best is enemy of the good.
The profoundest truths are paradoxical.
Friday, April 11, 2014
Republicans Search For Obamacare Alternative And Find... Obamacare
The Face of Compassionate Conservatism
(Or what passes...)
"Republicans are finally owning up to the fact that, once universality has been enshrined as a principle, something like ACA is the most conservative way to structure it as a practical matter, without throwing existing insurance systems into rapid disarray. But many people have been saying this for years. If you accept (or acquiesce) to the need for a large coverage expansion and don't want a single payer or substantial expansion of existing public systems, you need to make sure private insurers cover the sick, which means you need guaranteed issue and community rating -- so that nobody is closed out of the system, and so that risk is spread across large populations, not assigned to individuals. But if you have those two things then you need a coverage requirement, so you're not just spreading risk among old, sick people. And if you have that mandate, you need substantial subsidies -- means tested or otherwise -- so people aren't required to purchase insurance they can't afford. Of course, that's just Obamacare." Brian Beutler in The New Republic.