Time for Republicans to accept reality - Washington Post Editorial Board

[DonViejo]

By Editorial Board September 26 at 7:41 PM

WITH ONE more repeal-and-replace effort in flames, Republicans face a choice. They can continue to live in a fantasy world in which it is possible simultaneously to uproot Obamacare, slash federal spending on health care and widen health-care coverage. Or they can finally accept reality and strike a deal with Democrats to improve the Affordable Care Act.

Democrats, contrary to GOP rhetoric of recent weeks, are ready and willing. It was Republicans who shut down bipartisan negotiations this month in an attempt to push a repeal-and-replace bill through Congress. The bipartisan process could restart quickly.

Senate leaders decided Tuesday not to hold a vote on their most recent health-care bill, Cassidy-Graham, once it became clear that they lacked enough votes to pass it. Sen. John McCain (R-Ariz.) struck a blow against it last week by sticking to his principled stand in favor of a fair, bipartisan process — the opposite of what has taken place here. Then on Monday the Congressional Budget Office reported that the bill would result in “millions” losing coverage. Congress’s official scorekeeper has found the same about every major repeal-and-replace bill.

So now what? Senate Health, Education, Labor and Pensions Committee Chairman Lamar Alexander (R-Tenn.) and lead committee Democrat Patty Murray (Wash.) have held hearings on stabilizing Obamacare insurance marketplaces, gathered input from colleagues and bargained over the outlines of a deal. The emerging framework would satisfy neither Republicans calling for drastic reductions in government spending and regulation nor Democrats seeking a public-option health-care plan. But it is the obvious first step that an ideologically diverse yet functional Congress would take to stabilize the health-care system.

Under such a compromise, Republicans would agree to fund subsidies that help poor people with out-of-pocket expenses. Obamacare funding was intended to be permanent, but Republicans have threatened to eliminate it. More money might also go into programs to encourage insurance enrollment and to establish “reinsurance” programs, which help insurers cover high-cost enrollees. Reinsurance has driven down premiums in high-cost states such as Alaska.

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https://www.washingtonpost.com/opinions/time-for-republicans-to-accept-reality/2017/09/26/6f35fce8-a235-11e7-ade1-76d061d56efa_story.html

[Gothmog]

1. Great editorial