Congressional Republicans aren't the only ones who don't have a health care plan to comprise the "replace" part of repealing and replacing the Affordable Care Act. Mitt Romney doesn't either, despite his protestations to the contrary. Here he is last week:
"It's critical that we repeal Obamacare and, by the way, also replace it," he said. "I think I'm the only person in this race who's laid out what I would replace it with."
Romney said he plans to give a waiver to all 50 states discontinuing the president's plan—known formally as the Patient Protection and Affordable Care Act—and returning healthcare responsibilities to the states. He wants to take Medicaid money administered by the federal government and give it to states as block grants. His plan also includes giving individuals the same tax break that companies get when they buy insurance for their employees, allowing individuals to buy insurance across state lines, and encouraging consumers to shop around for the least expensive medical services, creating competition among healthcare providers.
None of these proposals are actually health care reform. They don't get at spiraling health care costs, at best they just shift costs on to states and consumers. The idea that a patient is going to shop around for the least expensive medical service is utterly laughable. "So, Regional Medical Center Y says they'll do my chemo treatments for $120K. Can you beat that price, Regional Medical Center X?"
Of course, Romney has a more comprehensive reform plan in his back pocket, the one he invented for Massachusetts that provided the template for Obamacare. But he can't trot that out, since it's his biggest liability with his base. So he happily pretends that bankrupting Medicaid and telling people to negotiate the cost of their care is reform, hoping that the lack of a plan will make people think he's a real Republican. In other words, he's a fraud, too.