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The GOP health care reform plan.

The off-again, on-again promise from congressional Republicans to replace Obamacare after repeal (or the Supreme Court strikes it down) seems to be off again.
Republicans might not offer a comprehensive plan to replace President Obama’s healthcare law if the Supreme Court strikes it down this summer. [...]

“I don’t want to go that route,” said Rep. Phil Gingrey (R-Ga.), a doctor and a member of the Energy and Commerce Committee. [...]

[S]ome Republicans, including Gingrey, now say a comprehensive bill isn’t the right approach. They argue it would be foolhardy for Republicans to put forward broad healthcare legislation after sharply criticizing the length and scope of Obama’s bill.

“I don’t believe we need to have another big omnibus bill that we’re going to roll out,” Gingrey said. “I don’t think that we need to make the same mistakes that the Obama administration and the Democrat Congress made.”
Sen. Jim DeMint (R-S.C.) is making the same case to Republicans on the other side of the Capitol.

“Whether the courts strike it down or Congress repeals it, Republicans shouldn’t repeat the Democrats’ mistake of rushing through our own big bill,” DeMint said.

It could also be that they have no comprehensive ideas for health reform. They've talked about trying to preserve some of the more popular parts of Obamacare, for example the ban on insurance companies denying coverage for pre-existing conditions, but without the larger framework—a mandate or a public option—it wouldn't work. They have their little ideas: tort reform, allowing insurance purchases across state lines (a logistical nightmare for states trying to regulate the industry which would likely have an end result of minimal regulation). It would insure just a fraction of those currently uninsured and cut the deficit by about half of what the Affordable Care Act would.

Ultimately, though, they just don't want to bother with it because Republicans don't perceive health care as a problem. For them, the only health care crisis that exists in America is too many people having access to it on Medicaid and Medicare. The uninsured? Let 'em die.

Originally posted to Joan McCarter on Thu May 10, 2012 at 09:31 AM PDT.

Also republished by Daily Kos.

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Comment Preferences

  •  Tip Jar (26+ / 0-)

    "There’s class warfare, all right, but it’s my class, the rich class, that’s making war, and we’re winning." —Warren Buffett

    by Joan McCarter on Thu May 10, 2012 at 09:31:20 AM PDT

  •  'Repeal and Replace'.....you betcha!!! (1+ / 0-)
    Recommended by:
    sethtriggs
  •  They got nothin'. (8+ / 0-)

    Not because they haven't thought about the matter, but because they don't want comprehensive health care for the country.

    And that's the way to play this, after the Supreme Court overturns the entire ACA (which I predict they will end up doing rather than deciding just to end the mandate, which they certainly will do).  After the Supreme Court acts, and the Republicans fail to act, the administration can point out, explicitly, just what the American people just lost.  Like the right not to be denied insurance becuse of pre-existing conditions.  Or the right to include your 25-year old kid on your insurance.

    The American people will end up losing in this fight, and they should be continuously reminded, from now until November, exactly what they lost at Republicans' hands.

    The road to Hell is paved with pragmatism.

    by TheOrchid on Thu May 10, 2012 at 09:42:36 AM PDT

    •  Actually, they do have an alternative... (0+ / 0-)

      ...which is the proposal that the Bush administration put forward during their second term.  It actually made it into McCain's campaign platform in 2008, as well.

      It was the proposal that eliminated the tax deduction for employer health coverage, replacing it with an individual tax credit towards health insurance.  And while it fits Republican ideology well (ie, "health care reform" that would increase the number of uninsured), I think that they figured out how unpopular it would be.

      Political Compass: -6.75, -3.08

      by TexasTom on Thu May 10, 2012 at 08:02:53 PM PDT

      [ Parent ]

      •  Well, I guess as bad as health care is in this (3+ / 0-)
        Recommended by:
        TexasTom, cybersaur, sethtriggs

        country, the Republicans are capable of making it worse. They are Republicans, after all.

        "Victory means exit strategy, and it's important for the president to explain to us what the exit strategy is." - George W Bush

        by jfern on Thu May 10, 2012 at 11:47:38 PM PDT

        [ Parent ]

        •  The goal will, as always, (1+ / 0-)
          Recommended by:
          sethtriggs

          be to do as much harm to as many people as possible, while generating as much free money for the already rich as is possible.

          All while enjoying the best possible, taxpayer funded socialist healthcare for themselves and their families.

          It's not enough that they succeed, they must also cause as many others to fail and suffer as possible. It's no good being rich if there is no one suffering in crushing poverty to gloat over.

          If republicans wrote the Hippocratic oath, it would say: First, do harm.  -- Actually it would say, first, take as much money as possible for yourself, then do as much harm as you can.

      •  That's actually the start of a much better idea (1+ / 0-)
        Recommended by:
        Hockeyray

        than you make it out to be.

        Employer-based insurance is one of the major problems with our health "system".  It perverts health care and it perverts the economy.

        LG: You know what? You got spunk. MR: Well, Yes... LG: I hate spunk!

        by dinotrac on Fri May 11, 2012 at 03:13:06 AM PDT

        [ Parent ]

        •  Not the way that they've proposed it (2+ / 0-)
          Recommended by:
          cybersaur, sethtriggs

          The Republican version undercuts the employer-based health care system, and just throws individuals into a largely unregulated insurance marketplace with a tax credit that would be grossly insufficient to cover the costs for anyone who isn't healthy and young.

          Aside from that, it's far more disruptive than Obama's health care plan...and it is the fear of change and disruption that drives much of the public wariness over health care reform.

          Political Compass: -6.75, -3.08

          by TexasTom on Fri May 11, 2012 at 06:05:04 AM PDT

          [ Parent ]

          •  Undercutting the employer-based health care (0+ / 0-)

            "system" is a step forward no matter how you slice it.

            As to unregulated insurance marketplace -- isn't that what we have now?  Personally, I would LOVE to have a tax credit to pay for my crappy insurance.

            LG: You know what? You got spunk. MR: Well, Yes... LG: I hate spunk!

            by dinotrac on Fri May 11, 2012 at 06:36:15 AM PDT

            [ Parent ]

  •  Are you suggesting that they have no honor? (2+ / 0-)
    Recommended by:
    skillet, a2nite

    I am shocked that you would say such a thing.

    Ask top al Qaeda leaders about Obama's foreign policy. Wait, you can't. They're dead. -Paul Begala

    by Fickle on Thu May 10, 2012 at 09:46:41 AM PDT

  •  I think they are assuming that HCR (9+ / 0-)

    will be struck down here, and failing to see just what a catastrophy for them that will be in the short and longterm.

    The low-information voter is a truly frustratingly fickle creature by nature. They go on low-information. Their gut. Who is fucking me over and how. The simple talking point.

    When they had HCR, they focused on the things they didn't like about the HCR law based on RW bullshit and misinformation because the bs played to their "I go with my gut"-ism.

    "ObamaCare screws me because x, y, and z."

    When they don't have HCR any longer, they will focus on what they would have had, but was stripped away from them. Low-information voters love them some resentment and 'I am the victim here'. Suddenly, a lot of people who didn't know shit about what was in ObamaCare and what wasn't will soon be able to list the things that have been taken away from them.

    "ObamaCare getting killed screws me because of x, y, and z."

    Liberal activists and Democrats who beat their heads against the wall for two years trying to get people to listen will be really truly pissed off, but the same yobs who fell for "death panel" bullshit and tuned them out when they tried to tell the truth will suddenly find "Hey, did you know that ObamaCare did x, y, and z... and now I'm not going to get that because it got taken away from me?"

    The GOP is going to need a bullshit cover story about what they are going to replace HCR with if it gets overturned, or be left holding the bag if it is overturned.

    I am from the Elizabeth Warren wing of the Democratic Party

    by LeftHandedMan on Thu May 10, 2012 at 09:56:52 AM PDT

  •  Now there's an easy call. (1+ / 0-)
    Recommended by:
    doinaheckuvanutjob

    After every day since its passage promising its demise. Thanks for the diary.

    "Such is the irresistible nature of truth that all it asks, and all it wants, is the liberty of appearing." - Thomas Paine

    by blueoregon on Thu May 10, 2012 at 10:22:19 AM PDT

  •  The only items they ever put out as part of their (8+ / 0-)

    "plan" is tort reform and Health Savings Accounts and that's it. That's their plan.

    Tort reform has existed in Texas for years and hasn't lowered consumer health costs by even a teensy weensy bit - so much for that theory.

    Health Savings accounts will mean squat to the huge numbers of Americans living paycheck to paycheck - it's another non-answer.

    The got nuthin' and they don't even care. Why should they? They have great government provided taxpayer funded healthcare although they would deny the same thing to everyone else. Hypocrites!

    “Human kindness has never weakened the stamina or softened the fiber of a free people. A nation does not have to be cruel to be tough.” FDR

    by Phoebe Loosinhouse on Thu May 10, 2012 at 11:28:03 AM PDT

  •  Across state lines? Yeah see how well that worked (6+ / 0-)

    For credit cards.

    --Enlighten the people, generally, and tyranny and oppressions of body and mind will vanish like spirits at the dawn of day. - Thomas Jefferson--

    by idbecrazyif on Thu May 10, 2012 at 12:36:02 PM PDT

    •  Their point exactly (7+ / 0-)

      They assume that indemnity-type plans will all set up shop in North Dakota or Montana, whose senators have telegraphed that intention.  So they will have minimal regulation, so the medical loss ratio can be <50% and there are no restrictions on recission.  And in fact they'd have no obligation to actually pay any claims.

      Or you could have an interstate HMO, where you get cheap rates from Kentucky or Arkansas, but if you get sick, you have to go to a doctor in Kentucky or Arkansas, even though you live in New York.  This could prove popular with out-of-state employers, since the low likelihood of making a claim can hold down rates.

      Such is the outcome when national policy is to view medical care as an industry, to have its profit maximized, rather than as a service.

    •  state-line scam (1+ / 0-)
      Recommended by:
      sethtriggs

      I'm guessing that the Neo-Confederate Party is plotting to implement the interstate scam not only to preclude Federal intervention in even the most grisly intrastate shenanigans, but also to make fruitless any attempt by the righteous to capture a state insurance commissioner office to halt corruption.

    •  IOW (0+ / 0-)

      More giveaways to the powerful in the guise of reform

  •  yes, let 'em die (3+ / 0-)

    The Repub health plan is "if you can't afford it then you're a loser" and the incredibly dumb Repub voters are are too poor to afford insurance think "yeah and I'll be rich some day and be able to afford it and those other losers won't!"

  •  Repeal & replace w/ nothing (1+ / 0-)
    Recommended by:
    foresterbob

    The radical Republican party is the party of oppression, fear, loathing and above all more money and power for the people who robbed us.

    by a2nite on Thu May 10, 2012 at 07:34:39 PM PDT

  •  They'll "compromise and get magnanimous (0+ / 0-)

    ..and pay for a suicide pill for the uninsured if they get sick or injured. But only after extensive means-testing.

    The social safety net has essentially been replaced by the prison system, with the U.S. “getting rid of the superfluous population through incarceration -- Noam Chomsky

    by Anthony Page aka SecondComing on Thu May 10, 2012 at 07:45:59 PM PDT

  •  Wait. (1+ / 0-)
    Recommended by:
    DeeDee001

    Are you saying that the GOP would destroy Obamacare and then fail to replace it with anything else? Honestly, if this is news to any of you, I'm surprised. I've known this for years.  I thought everyone here did.

  •  They haven't been for universal health care (1+ / 0-)
    Recommended by:
    LordMike

    since Nixon's administration brought out a bill. From Reagan onward, they've done nothing, and deliberately.

    No one should be fooled that the Repigs will create any kind of health care bill. Let's not forget the promises we heard from GWB, no nation building, nicer foreign policy in the world, etc etc.

    This group of radical GOPers propping up pathetic Romney will never go for UHC, they want Greece style austerity and that is what they will do if elected.

  •  I know everyone thinks SCOTUS is going to (1+ / 0-)
    Recommended by:
    SottoVoce

    strike down the ACA. However, they're between a rock and a hard place. A lot of good things have already been implemented. If they strike the whole thing, there are going to be a bunch of people pissed off at the Repukes. And those people have friends and family. If they only strike the mandate, the insurance companies are screwed. So how do they present this in a way that hurts the Dems only? I hope Scalia is having sleepless nights.

    Your left is my right---Mort Sahl

    by HappyinNM on Thu May 10, 2012 at 07:48:57 PM PDT

  •  I have a solution (3+ / 0-)
    Recommended by:
    TexasTom, LordMike, Hockeyray

    We can all claim citizenship in Sweden like Palin and our healthcare will be covered

    Be ashamed to die until you have won some victory for humanity. Horace Mann (and btw, the bike in kayakbiker is a bicycle)

    by Kayakbiker on Thu May 10, 2012 at 07:50:45 PM PDT

  •  the individual mandate was the republican plan (1+ / 0-)
    Recommended by:
    cybersaur

    Intended to save the insurance industry from revolt and simultaneously protect their profits-- they have no alternative plan--- it will be to their long term detriment that the mandate plan was actually co-opted by a democratic congress/president--- some day we will have a single payer plan, but it will be a long and messy battle!

    Nobody's right if everybody's wrong- Stephen Stills et al.

    by tharu1 on Thu May 10, 2012 at 07:51:41 PM PDT

  •  Dems need to exploit this big time. Lay it out (1+ / 0-)
    Recommended by:
    DeeDee001

    nice and simple.  Tell people that all these new, great healthcare improvements that are in Obamacare (no denying for preexisting conditions, allowing children to stay on parents' insurance longer, can't drop you for getting sick, etc, etc, etc) will all just go away, and return to the old way of doing things.  I think the only reason a big chunk of people even pretend to be on the same page as the GOP when it comes to Obamacare is that they REALLY, REALLY want to believe the GOP when they say they're going to REPLACE Obamacare with something else, which keeps all the good stuff but changes the "bad" stuff.  Whatever that is.  But once they find out the GOP has no intention whatsoever of even keeping the good stuff, they may just change their tune and not support the GOP on this quite so much.

    •  They're probably counting on SuperPACS (1+ / 0-)
      Recommended by:
      DeeDee001

      to carpet-bomb the airwaves with advertising to convince the public that this is all in the public's best interests.

    •  Obama And The Dems Should Have Been Trumpeting (1+ / 0-)
      Recommended by:
      cybersaur

      the ACA's accomplishments for the past 2 years via an advertising campaign. Instead, they have let the Rethugs frame the ACA as being "socialist health care" blah, blah, blah. If the Dems had been out front with a messaging campaign for the ACA, the public would have a different view of the legislation. The Dems can start running ads now, but they are fighting an uphill battle against the past 2 years worth of 24/7 right wing propaganda on the ACA.

  •  When the Act is struck down in whole or part..... (3+ / 0-)
    Recommended by:
    LordMike, DeeDee001, cybersaur

    ...the very first act of congress should be to remove health care for its members unless and until comprehensive health care reform is passed and signed by the President.

  •  An end result of minimal regulation (2+ / 0-)
    Recommended by:
    LordMike, cybersaur

    sounds just like what the GOP wants.

  •  They do have a point. (0+ / 0-)

    Why replace one big nasty steaming pile with another?

    The problem is that they  wouldn't do anything at all to replace the nasty wealth-destroying, economy-crippling, quasi-lotto care approach we use now.

    LG: You know what? You got spunk. MR: Well, Yes... LG: I hate spunk!

    by dinotrac on Fri May 11, 2012 at 03:10:40 AM PDT

  •  Grayson accurately described GOP Healthcare Plan (2+ / 0-)
    Recommended by:
    cybersaur, sethtriggs

    If you get sick - die quick!

  •  "They don't perceive it to be a problem" (1+ / 0-)
    Recommended by:
    DeeDee001

    Exactly.

    The modern conservative is engaged in one of man's oldest exercises in moral philosophy;the search for a superior moral justification for selfishness

    by CTMET on Fri May 11, 2012 at 04:22:47 AM PDT

  •  Just allow people to buy into Medicare (0+ / 0-)

    It would help Medicare funding because of a younger healthier base of enrollees,  and it would provide affordable health care.    Start charging a premium for Medicare Advantage because it costs more.  

    Victims of bigotry are the poorest, least influential members of society.......never the wealthiest, most educated, most overrepresented in high levels, and most influential. Bigotry hurts the least influential. To claim or say otherwise is absurd.

    by dailykozzer on Fri May 11, 2012 at 05:59:29 AM PDT

  •  You can buy insurance across state lines TODAY (0+ / 0-)

    as most insurance companies write policies in most states.

    But I can't buy a policy in New York and pay Nebraska rates. Things don't work that way.

    When are we going to stop failing to respond to this stupid canard?

  •  If The ACA Is Overturned, The Republicans Will Do (2+ / 0-)
    Recommended by:
    sethtriggs, jeffwtux

    exactly what they did for the 14 years (during which they held the majority in Congress) after they trashed Bill Clinton's proposed health care reform in 1993 - NOTHING. We will go back to the system we had before - increasing numbers of uninsured Americans using the ER for their primary care, skyrocketing health care premiums for everyone else, and rationing of health care (i.e. no coverage for people with pre-existing conditions, etc.). The Republicans MIGHT try to pass some BS legislation to pacify the public, like tax credits or vouchers that don't keep up with inflation, and don't amount to a hill of beans in covering health care costs, but in general Rethugs liked the health care status quo - if you can't get health insurance or can't afford it, tough.  All one needs to do is look at 1993 - 2006 when Republicans held a majority in Congress, and could have put forth their own health care legislation if they had wanted to, but didn't. Instead of health care reform they were busy cutting taxes for millionaires and starting wars to enrich their MIC buddies.  A leopard doesn't change his spots. Let history be your guide!!  

  •  Jim DeMented's Comment Takes The Cake - (1+ / 0-)
    Recommended by:
    sethtriggs

    "Republicans shouldn't repeat the Democrats mistake of rushing through our own big bill." Democrats have been working on health care reform legislation since Bill Clinton introduced his version in 1993 - 16 years BEFORE the ACA was passed. Since when is working 16 years on health care legislation "rushing it through?"

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