How to explain the history of the "Republican alternative to
Obamacare?" It seems to reside in a realm where time elongates and
reality warps. I cannot remember a time in which Republicans weren't
fervently offering an "Obamacare alternative." Simultaneously, I cannot
remember a time in which Republicans weren't fervently urging the
creation of new "Obamacare alternatives." To borrow a line from
Christopher Durang, I don't know if this is the trick of memory, or the
memory of some trick.
At times, the "Republican alternative to
Obamacare" seems to be forever on its way, but never arriving -- as if
it were the public policy embodiment of
Zeno's dichotomy paradox.
New York magazine's Jonathan Chait, who's spent many a day navigating
this Beckettian wilderness, suggests that the "Republican alternative to
Obamacare"
exists in a quantum reality,
where they "reside in a state of quasi-existence, and any attempt to
summon them into political reality will cause them to disappear."
More
often than not, the history of the "Republican alternative to
Obamacare" reveals itself as a cyclical set of traditions, repeating
themselves over the years in political press conferences and pundit
sparring. It goes something like this:
1. Republicans propose "alternatives" to Obamacare that don't go anywhere.
2. Allied partisans urge them to finally get serious and come up with a replacement.
3. They make new promises to keep at it.
4. Their return to the drawing board prompts columns from liberals about how the GOP lacks an alternative.
5. Allied partisans then criticize liberal pundits for saying there is
"no alternative plan," citing the many plans that have been proposed,
that went nowhere.
6. New alternatives are proposed and/or promised nonetheless, and the cycle repeats.
This
cycle resembles Rust Cohle's "membrane theory" from the HBO show "True
Detective." Time is a flat circle, in which Republicans have always been
proposing alternatives to Obamacare, their proposals just cycling
through their lives like carts on a track. The "Republican alternative
to Obamacare" exists in an eternity where there is no time, nothing can
grow, nothing can become, nothing changes, and everyone is reborn, but
into the same effort to replace Obamacare that they’ve always been born
into.
How many times have we had this conversation? I went back to
the beginning to find out. By the end, I was ready to crush some Lone
Star tallboys.
__________________________
March 2009:
As Democrats begin to coalesce around a plan of their own,
the GOP alternative is still nonspecific.
Rep. Roy Blunt (R-Mo.) offers that Medicare's prescription drug benefit
is "a good pattern of how a competitive marketplace works."
"Health care is a privilege." -- Rep. Zach Wamp (R-Tenn.)
April 2009:
Igor Volsky of ThinkProgress reports that the GOP's alternative plan still basically
resembles the McCain plan:
"The recent trickle of so-called consumer-driven health care
'principles and recommendations' are a preview of the likely Republican
alternative to comprehensive health care reform. Earlier this month, the
Health Policy Consensus Group, headed by the conservative Galen
Institute, published 'a vision for consumer-driven health care reform'
and today Ramesh Ponnuru of National Review pens a New York Times
editorial in which he explains that ... 'universal coverage' is
'misguided." Policy makers should focus on giving Americans 'more
control' of their coverage instead."
May 2009:
Sens.
Tom Coburn (R-Okla.) and Richard Burr (R-N.C.), along with Reps. Paul
Ryan (R-Wis.) and Devin Nunes (R-Calif.) introduce their Patient's
Choice Act.
Ezra Klein notes:
"It's clear that many traditionally Democratic concepts have been
embraced. To put it simply, the plan wants to encourage a version of the
Massachusetts reforms ... in every state. There are some differences,
of course. The plan doesn't have an individual mandate. It doesn't have
an obvious tax on employers. But it strongly endorses State Health
Insurance Exchanges."
The bill was referred to committee,
but nothing ever came of it.
June 2009:
"I guarantee you we will provide you with a bill." -- Rep. Roy Blunt (R-Mo.)
Karl Rove:
"In politics you can't beat something with nothing, so it is critical
that the GOP offers an alternative to President Barack Obama's
government-run monstrosity."
So here they come! The next
semi-official GOP alternative to Obamacare is presented by Rep. Eric
Cantor (R-Va.) and Dave Camp (R-Mich.). Time's Jay Newton-Small
terms it
"a four-page exercise in public relations that left out how many of the
47 million uninsured Americans would be covered, how it would be paid
for or even how much it would cost." It rolls out alongside nine other
"alternative plans."
"I started reading a couple,
three of the Republican plans, but frankly, there's only so much time in
the day." -- Sen. Max Baucus (D-Mont.)
July 2009:
In late July, the GOP-alternative effort briefly falls into contradictions.
In a July 23 conference with GOP House leadership,
Blunt declared, "As the president has gotten less specific, we have
been more specific.” Cantor proclaimed that the GOP had a "third way" to
do health care reform. A day before, however, Blunt had said that the
GOP
would not bother introducing a bill:
"Our bill is never going to get to the floor, so why bother? We clearly
have principles; we could have language, but why start diverting
attention from this really bad piece of work they've got to whatever
we're offering right now?"
The next week, Rep. Tom Price (R-Ga.)
would give it another shot, introducing the "Empower Patients First
Act." Igor Volsky remarked that it was "almost identical" to four other
GOP proposals that had been previously floated, and wondered, "
What was wrong with the other four bills?"
August 2009:
GOP partisans begin to get testy. Morton Kondracke, writing for Real Clear Politics,
says,
"There's no question that Republican criticism has helped undermine
support for President Barack Obama's health plan. But it hasn't done
much to help Republicans. That's because while Republicans actually do
have alternative ideas on health care reform, they have spent most of
their time accentuating Obama's negatives."
American Thinker's Paul Shlichta suggests that the GOP's failure to coalesce around a "counterproposal" is "political suicide."
Easier said than done, and the partisans aren't any better at coming to consensus.
Justin Quinn urges the GOP to unite behind the "Improving Health Care For All Americans Act."
Herman Cain begs the GOP to unite behind the "Empowering Patients First Act."
September 2009:
"The Republican health care plan for America: don't
get sick ... if you do get sick, America, the Republican health care
plan is this: die quickly." -- Rep. Alan Grayson (D-Fla.)
October 2009:
The Hill reports that the GOP is still at square one, debating what to do:
Some House Republicans are growing frustrated that their leaders have not yet introduced a health care reform alternative.For
months, the message from House GOP leaders on a health care bill has
been similar to ads for yet-to-be-released movies: Coming soon.
According
to several GOP lawmakers, the leadership is split over how to proceed
in terms of unveiling an alternative to the final Democratic bill that
Speaker Nancy Pelosi (D-Calif.) intends to unveil as soon as this week.
A GAME-CHANGING IDEA EMERGES: Philip Klein in the American Spectator:
"Taken together, these criticisms have helped to weaken support for and
build opposition to Democratic initiatives, but they have done nothing
to advance an alternative vision for the health care system."
November 2009:
The GOP introduces
its alternative
in the form of an "Amendment in the Nature of a Substitute Offered by
Mr. Boehner of Ohio" to what was then the Democrats' bill, the
"Affordable Health Care for America Act."
The Congressional Budget Office promptly torches it.
Ezra Klein surveyed the damage:
"The Democratic bill, in other words, covers 12 times as many people
and saves $36 billion more than the Republican plan. And amazingly, the
Democratic bill has already been through three committees and a merger
process. It's already been shown to interest groups and advocacy
organizations and industry stakeholders. It's already made its
compromises with reality. It's already been through the legislative
sausage grinder. And yet it saves more money and covers more people than
the blank-slate alternative proposed by John Boehner and the House
Republicans."
December 2009:
Jonathan Chait:
"The Republicans eschewed a halfway compromise and put all their chips
on an all or nothing campaign to defeat health care and Obama's
presidency. It was an audacious gamble. They lost. In the end, they'll
walk away with nothing."
February 2010:
The Weekly Standard offers a "one-page" alternative to Obamacare called "
the Small Bill."
Its praises are sung by people ranging from "people who work at the
Weekly Standard" to "people who work at the National Review."
The White House
offers to meet with legislators
to hash out a health care reform bill. GOP lawmakers are optimistic
that they can convince the White House to "scrap" the bill that's
emerging. Their counterproposal? "A blank piece of paper." Meanwhile,
the Patient Protection and Affordable Care Act
is shaping up to resemble a 1993 health care reform proposal floated by the GOP.
March 2010:
"And, once we defeat Barack Obama, we need to proceed
to repeal this disastrous plan before it can ruin our health care
system. Then we must replace it with a Republican alternative that
relies on the marketplace, tax incentives and individual responsibility
to provide health care to all Americans." -- Dick Morris
May 2010:
Sen. Bob Bennett (R-Utah) is defeated in the second round of balloting
at the 2010 Utah State Republican Convention. Among Republicans, Bennett
was the most earnest in working on an Obamacare alternative. His sin,
however, was partnering with a Democrat, Sen. Ron Wyden (D-Ore.) in the
effort.
As the Deseret News reported,
"His seven opponents had claimed he was not conservative enough for
Utah, and had attacked him for voting for a banking bailout and for
pushing a bipartisan health care reform proposal."
June 2010:
Once again, the GOP managed a pileup of competing alternatives. Rep. Paul Broun (R-Ga.)
offers RedState readers
"four commonsense alternatives to Obamacare," detailing H.R. 5421, "To
repeal the Patient Protection and Affordable Care Act and the Health
Care and Education Reconciliation Act of 2010."
The bill was referred to committee, and nothing came of it.
Meanwhile,
House leadership microwaved an old alternative plan,
repackaging it as H.R. 5424, "To repeal the Patient Protection and
Affordable Care Act and the Health Care and Education Reconciliation Act
of 2010 and enact the Common Sense Health Care Reform and Affordability
Act."
The bill was referred to committee, and nothing came of it.
July 2010:
A GAME-CHANGING IDEA EMERGES: Fred Barnes in the American Spectator:
"Republicans have two great issues: health care and reform. They ought
to go beyond advocating repeal of ObamaCare, tell voters what they'd
replace it with, and explain the benefits."
August 2010:
Writing for Fox News,
Christian Wilton suggests that a GOP-controlled Congress needs to
"refuse to appropriate money required for federal agencies to implement
Obamacare, buying time to offer a Republican alternative." Buy time?
They've been at this for over a year and a half!
September 2010:
The GOP releases its "Pledge To America," which includes a promise to repeal Obamacare and replace it with ...
a bunch of stuff that's already in Obamacare.
October 2010:
"We
could come up with a health care system that the American people would
not only be proud of, but would actually love. ... We've never had a
real conservative majority." -- Sen. Orrin Hatch (R-Utah)
The Los Angeles Times' Noam Levey reports:
"Conservatives are campaigning on promises to repeal Obama's overhaul,
but a few admit their proposals haven't changed much in the last few
years."
Some conservatives acknowledge that the
healthcare program offered by party leaders is largely unchanged from
the proposals the GOP pushed when it held majorities from 2000 to 2006.
During that period, insurance premiums skyrocketed, businesses reduced
benefits and the number of Americans without health insurance rose.
November 2010:
With a new House majority, Cantor reboots the effort to come up with an alternative. In a letter to incoming members,
he writes:
"Our new Republican majority will move to repeal ObamaCare and replace
it with commonsense alternatives that lower costs while protecting those
with pre-existing conditions." Newly minted House Speaker John Boehner
(R-Ohio)
echoed the sentiments:
"We must do everything we can to try to repeal this bill and replace it
with common-sense reforms to bring down the cost of health care.” Rep.
Camp tries to interest people
in one of his old proposals.
December 2010:
The GOP struggles, once again, to unify its approach. Cantor's call to
protect patients with pre-existing conditions -- ground he ceded to
Obamacare -- wasn't embraced by the incoming freshmen.
As Andrea Stone reported:
North
Carolina's Renee Ellmers, a Palin protege, opposes requiring insurers
to accept patients with pre-existing conditions -- including pregnancy.
Austin Scott of Georgia, another House freshman, was asked if there was
any part of the law he supported. He replied, "No, ma'am, there are
not."
Meanwhile, right-wing pundit infighting commences over Charles Krauthammer's
suggestion to not attempt to defund Obamacare,
on the grounds that a defunding effort would naturally be blamed for
the law's failings. Krauthammer supported allowing the bill to be
implemented, so it would fail on its own.
This was met with disagreement.
January 2011:
House Republicans check off
one of the entries on their bucket list
by passing the "Repeal And Replace The Job Destroying Health Care Law."
While the symbolic bill is long on "repeal," it doesn't offer much in
the way of "replace." In fact,
Cantor characterized the effort
to construct an alternative to Obamacare as something that Republicans
were, once again, embarking on for the first time, telling reporters
that the vote for the bill meant they were ready “to begin work to
construct an alternative health-care vision” that would be their
“so-called replacement bill.”
Bloomberg reported
that "Republican leaders didn’t offer specific alternatives" or a
"timeline for moving forward with their proposals." The bill would die
in the Senate.
February 2011:
A GAME-CHANGING IDEA EMERGES: Jeffrey Anderson in the Weekly Standard:
"But while Americans want repeal, they don’t just want repeal. And thus
the House Republicans are now confronted with their greatest challenge
-- and opportunity -- in the whole span of the health care debate. They
need to show the American people that the choice is not between
Obamacare and nothing. They need to provide a meaningful, sensible
alternative to Obamacare’s comprehensive failings."
Days later,
the American Thinker's Jim Guirard had a brainwave: "We must focus on an alternative plan which can and should result in a simultaneous repeal and replacement of ObamaCare."
"As soon as the time is right," he specified.
March 2011:
WNYC reports
that the GOP was hard at work "mull[ing]" an "Obamacare alternative":
"Because now, Republicans (and their presidential hopefuls) must face
the task of figuring out just what kind of health care law they'd like
to see." Meanwhile,
Ezra Klein opines:
It's
put-up-or-shut-up time for Republicans. They managed to make it through
the health-care debate without offering serious solutions of their own,
and -- perhaps more impressive -- through the election by promising to
tell us their solutions after they'd won. But the jig is up. They need a
health-care plan -- and quickly.
Jennifer Rubin -- missing Klein's point by a country mile --
responded
by citing numerous past examples of Republicans coming up with plans
and insisting that Klein was "pretending there is no alternative to the
deeply flawed ObamaCare."
April 2011:
A GAME-CHANGING IDEA EMERGES: Ramesh Ponnuru and Yuval Levin in The New York Times:
"Republicans have an effective slogan for their health care agenda:
'repeal and replace.' The problem is, they can agree only on the first
half; agreeing on what to put in place of last year’s health care law is
the hard part."
May 2011:
2012 hopefuls
Mitt Romney and
Newt Gingrich
wade into the health care reform waters, with mixed success. The Wall
Street Journal offers the optimistic assessment that the "Republican
primary contest ... could feature a robust debate on health care, with
GOP candidates challenging the Democratic law while defending their own
variations."
July 2011:
"When they took control of the House,
Republicans could barely stop talking about their plans to 'repeal and
replace' the health care reform law. Six months later, they hardly talk
publicly about those plans at all. And they’re nowhere close to
'replacing' the law." --Politico
September 2011:
Ryan gives the "Republican alternative to Obamacare" another shot,
proposing an expanded variation on his voucher system for Medicare.
October 2011:
Another dispatch from LA Times reporter Noam Levey
indicates that, once again, the effort to come up with the "Republican
alternative to Obamacare" is just getting underway: "Other conservative
healthcare experts are developing an alternative to the law, an effort
that could protect Republicans from past critiques that their healthcare
plans left tens of millions of Americans without medical coverage."
Later
in the same article, Levey reports, "A Republican replacement plan
could build off a 2009 House GOP plan, said James Capretta, a former
George W. Bush administration official who is developing a replacement
strategy." (So much for dodging those "past critiques.")
November 2011:
A GAME-CHANGING IDEA EMERGES: Deroy Murdock in the National Review:
"Washington Republicans nevertheless have been unwilling or unable to
lock themselves in a hotel ballroom for a long weekend and devise a
single plan as the official GOP alternative to Obamacare. Lacking a
proposal around which Republicans and their limited-government allies
could coalesce, the Right rightfully hammered Obamacare but never
offered its own coherent package. Lesson: Never try to defeat something
with nothing."
January 2012:
The Hill reports
that "House Republicans will be ready with a plan to replace President
Obama’s healthcare law once the Supreme Court determines the law’s fate
this summer," thus giving them six more months to come up with
something. Rep. Joe Pitts (R-Pa.) -- who told The Hill that the
"Republican alternative to Obamacare" would be ready regardless of the
court's decision, "listed a number of policy ideas Republicans would
consider in a replacement bill"...
that were already part of Obamacare.
Meanwhile, it is reported that Romney's alternative plan is "
light on details."
February 2012:
Months after she castigated Ezra Klein for "pretending there is no alternative to ... ObamaCare,"
Jennifer Rubin says that the Republicans need to come up with
the "Republican alternative to Obamacare." She writes, "Conservatives
need to let the public know what the alternative to ObamaCare may be.
If, unlike Obama, Republicans care about getting a mandate for their
agenda, they would be wise to start laying out what a market-oriented
alternative to ObamaCare would look like."
March 2012:
A GAME-CHANGING IDEA EMERGES: James Capretta and Robert Moffit in National Affairs: "Now that Obamacare is with us, the law cannot be reversed without a credible proposal for what should take its place."
Meanwhile, Senate Minority Leader Mitch McConnell (R-Ky.) is reportedly scaling back expectations,
telling Ramesh Ponnuru, “We would want to more modestly approach this with more incremental fixes ... Not a massive Republican alternative.”
April 2012:
The mystery of the "Republican alternative to Obamacare" deepens. "Do Republicans have an alternative to ObamaCare?"
asks The Week. "Is There a Republican Alternative to Obamacare?"
wonders Uwe Reinhardt.
Fox News insists,
"There is a Republican health plan. The only problem: Just as Democrats
don't want to talk about ObamaCare, Republicans are just as afraid to
talk about their plan as well."
May 2012:
The Hill reports:
Republicans
might not offer a comprehensive plan to replace President Obama’s
healthcare law if the Supreme Court strikes it down this summer.House
Republicans had said they would have a healthcare bill ready to go by
the time of the ruling to present a clear alternative to the Democrats’
Affordable Care Act.
But now, with the high court’s ruling just
weeks away, some conservatives are urging the party to abandon that
strategy, fearing voters will recoil from another sweeping revamp of the
healthcare system.
"The
political dynamics are such that you can loudly promise to craft an
alternative a million times, and then quietly take back that promise in a
small article published in The Hill." -- Jonathan Chait
July 2012:
A year and a half after Eric Cantor said the GOP was ready "to begin
work to construct an alternative health-care vision" that would serve as
his party's "so-called replacement bill,"
Cantor tells Tom Brokaw:
"Tom, you knew back in 2009 when the Obamacare bill was being
considered on the House floor, we put forward our alternative. So to sit
here and say we don’t have a replacement is not correct."
Meanwhile,
other Republicans were proceeding under the assumption that alternative
plans were still needed -- and they continually offered "alternatives"
that resembled the Affordable Care Act.
By mid-month, however,
the L.A. Times reports that the GOP had "all but given up pushing alternatives to the sweeping legislation the president signed in 2010."
A GAME-CHANGING IDEA EMERGES:
Gail Wilensky, who headed the Medicare and Medicaid programs under
President George H.W. Bush and advised Sen. John McCain (R-Ariz.) during
his 2008 presidential campaign, says:
"One of the big questions that the public needs to ask Republicans who
are so focused on repeal is what will come in its place."
November 2012:
A GAME-CHANGING IDEA EMERGES: Ex-Romney adviser Avik Roy in Forbes:
"Republicans have, rightly, spent the last three years campaigning
against Obamacare. ... But conservatives are sorely mistaken if they
believe that they can continue to campaign against Obamacare, without
offering their own strategy for making health care more affordable for
American families and the federal treasury."
December 2012:
Politico reports that Rep. Price becomes the latest GOP figure to
suggest that the process of developing a "Republican alternative to
Obamacare" needed to be rebooted: “It’s incumbent upon us to put forward
positive, alternative solutions,” Price said at a Politico Pro
breakfast panel discussion.
January 2013:
Jennifer Rubin offers a post-election lamentation:
The
problem in the 2012 election was not that Mitt Romney didn’t seek to
repeal Obamacare or that he had a state plan with one element (an
individual mandate with an exchange); it was that he refused to spell
out in particular detail an alternative. James Capretta and Jeffrey
Anderson make a compelling case in the Weekly Standard that Republicans
must do this ... without an alternative, the duo correctly point out,
there will be no groundswell of support to dump Obamacare and no
effective scene setting for the 2014 and 2016 elections."
Once
again, I'll remind you that at one point Rubin got awfully snippy at
Ezra Klein for "pretending there is no alternative to the deeply flawed
ObamaCare." Now the lack of an alternative is the backbone of her
urgings.
March 2013:
A GAME-CHANGING IDEA EMERGES: Mona Charen in Washington Examiner:
"As Obamacare's rising costs and constricted choices alienate the
American people, Republicans should be ready with an alternative that is
market-oriented, assembled and on the launchpad."
April 2013:
The "Republican alternative to Obamacare" returns to its conceptual
stages, where it becomes part of a pundit pileup in Cloudcuckooland.
Yuval Levin and Ramesh Ponnuru write in National Review that Republicans
"need to realize that without ... an alternative their objections to
Obamacare will ring increasingly hollow," adding, "Even though they
cannot become law for at least four years, such ideas must become
Republican orthodoxy if the party is plausibly to call for repeal.”
Levin and Ponnuru propose an alternative.
Matt Yglesias and
Ezra Klein are not impressed.
Ben Domenech is not impressed with their non-impressediveness.
Jonathan Chait notes that the GOP has had ample opportunity to come up with an alternative, but hasn't put many to a vote:
Republicans
haven’t done so for pretty clear reasons. These alternative proposals
are much less technocratically simple than they pretend. (You can’t just
throw terms like “well-designed” at the Congressional Budget Office.)
They cost money Republicans don’t want to spend. They upset voters and
interest groups Republicans don’t want to upset.
May 2013:
"Together, we could provide more cost-effective care
and do something more about spiraling healthcare costs. But really, the
only true Republican alternative to Obamacare is Nothingcare." -- Rep. Lloyd Doggett (D-Texas)
Ryan becomes
the latest Republican to reboot the effort
to create the "Republican alternative to Obamacare," telling those
gathered at the Wisconsin state party convention: “The nation is
watching. The broken promises are being realized in front of their eyes
and in their daily lives. ... This is the moment that we have to offer
them real hope and give them real alternatives.”
A GAME-CHANGING IDEA EMERGES: Ross Douthat writes in The New York Times:
"The fact that the G.O.P. isn’t really offering such an alternative at
the moment clearly makes the case for repeal weaker than it otherwise
might be, and it makes the case for resistance weaker as well."
June 2013:
Rep. Price of Georgia decides
to give the "Republican alternative to Obamacare" another try, with
H.R. 2300, the "Empowering Patients First Act of 2013," which repeals
the Affordable Care Act and, among other things, replaces it with
"refundable tax credits of up to $5,000 for low-income individuals and
families to purchase health insurance on the private market." In June,
the bill is referred to committee,
and nothing further comes of it.
Meanwhile,
the Weekly Standard's Jeffrey Anderson laments
that his party's candidates for the 2012 presidential nomination didn't
succeed in their efforts to develop a "Republican alternative to
Obamacare," writing, "if a credible Republican candidate had entered the
presidential race with the goal of making Obamacare — and a compelling
GOP alternative — the focus of the campaign, Obama would likely now be
living in Hyde Park rather than across from Lafayette Square (albeit
still at public expense)."
July 2013:
Rep. Kevin Brady (R-Texas) tells Newsmax that "House Republicans plan to have an alternative to Obamacare ready by this fall." Really. They
totally mean it this time.
Meanwhile,
Jennifer Rubin is increasingly sounding like the people she once haughtily criticized:
"Without a GOP alternative to Obamacare, their complaints are empty and
their votes unlikely to be taken seriously by voters. It is long, long
past the point at which Republicans should have begun crafting and
selling their alternative. ... Where is the market-based health-care
plan?"
August 2013:
August brings another spin of the "Republicans need an alternative!" to
"Not fair, we have lots of alternatives!" cycle. Obama, in a news
conference, criticized Republicans for not proposing a replacement bill:
"They used to say they had a replacement. That never actually arrived,
right? I mean, I've been hearing about this whole replacement thing for
two years." It's understandable: let's recall that mere weeks ago, Rep.
Brady was saying the alternative would not arrive until the fall.
Obamacare opponents did not take this well. John C. Goodman insists that "
there is a serious GOP proposal,"
citing the "Patients Choice Act" proposed by Ryan and Coburn. ("This is
essentially the health reform plan that John McCain proposed when he
ran for president in 2008," he writes.) He'd later
tell Fox News' Jim Angle, "I think the president has an incredibly short memory." Forbes contributor Chris Conover was
similarly incensed: "It’s arguably the favorite myth of progressives, the oft-repeated claim that Republicans have no health plan."
Meanwhile,
former House Speaker Newt Gingrich tells
"a gathering of GOP operatives that lawmakers who criticize Obamacare
but offer no alternatives will be left with 'zero answer' for
constituents who ask for a policy solution to the president’s health
care reform law."
"I would bet for most of you, you go home in the
next two weeks while your members of Congress are home and you look at
them in the eye and you say, ‘What is your positive replacement for
Obamacare?’ and they will have zero answer,” said Gingrich.
Short memory, I guess.
September 2013:
Having missed all of August's harangues about how unfair it was to
suggest that there were no "Republican alternatives to Obamacare,"
because so many already existed, the Republican Study Committee goes
ahead an unveils a new one anyway,
called the "American Health Care Reform Act of 2013":
“First of all, we start by repealing Obamacare,” RSC Chairman Steve Scalise, Louisiana Republican, said of the new bill.Among
other reforms, the GOP-sponsored bill would allow consumers to shop for
insurance across state lines, let individuals and families deduct
health care costs for tax purposes the way employers do and inject
billions of dollars into state high-risk pools so people with
preexisting medical conditions can gain coverage.
ThinkProgress' Sy Mukherjee remarks:
"If that all of this sounds familiar, it’s because Republicans have
been proposing some combination of these ideas since at least 2007." The
bill is referred to committee on Sept. 18, and
nothing ever comes of it.
October 2013:
Rep. Darrell Issa (R-Calif.) jumps into the "create a Republican
alternative to Obamacare" game on Twitter, proposing that every American
should receive the same benefits that lawmakers receive through the
Federal Employee Health Benefits program. Business Insider's Josh Barro
terms this replacing "
Obamacare with Obamacare."
A GAME-CHANGING IDEA EMERGES: Rob McKenna in Smarter Government Washington:
"It’s time for Congressional Republicans to unite under solid,
practical alternatives to Obamacare and give the public a positive
vision."
November 2013:
The Republican Study Group's alternative plan, the "American Health Care Reform Act of 2013," is said to be gaining "
support" and "
momentum," but I've already
spoiled the ending for everybody, so I guess you'll have to appreciate the dramatic irony.
Meanwhile,
the Onion gets into the game
of making fun of the "Republican alternatives to Obamacare," with a
list of their own that includes such proposals as "Repeating the phrase
'you can keep your current doctor' over and over until something
happens," and "A true market-based solution -- perhaps a convenient
website -- where uninsured people would pay for their own health
insurance from private providers," and "Whatever the opposite of tyranny
is."
A GAME-CHANGING IDEA EMERGES: Ramesh Ponnuru and Yuval Levin offer a breakout idea in The Wall Street Journal:
"What Republicans can and should do is offer the public something
better. Now is the time to advance a conservative reform that can solve
the serious, discrete problems of the health-care system in place before
ObamaCare, but without needlessly upending people's arrangements or
threatening what works in American medicine."
December 2013:
Despite the fact that the calls for a "Republican alternative to
Obamacare" are coming from inside the house, conservative partisans
ignore the urgings of Ponnuru and Levin and
lapse into another round of being
aggrieved at the way Democrats keep saying that they've
not come up with an alternative.
Meanwhile, Rep. Price
tells Fox News
that the GOP will really, totally, seriously "bring forth a bill" that
will "unite Republicans around health care issues" sometime after the
first of the year, and that's a promise, for real, this time.
"You can't beat something with nothing," Price added, sagely.
January 2014:
A new year dawns and with it comes yet another unveiling of a
"Republican alternative to Obamacare." And the GOP had been at it for
such a long time that it was second-bite-at-the-apple time for Sens.
Coburn and Burr, who joined Sen. Hatch in creating the "
Patient Choice, Affordability, Responsibility and Empowerment Act." "
Mirabile dictu,"
sang out Ross Douthat, "an actual health care reform proposal!"
The
glad tidings did not last long. "Within hours of the new plan coming
into contact with political reality, things began to fall apart,"
wrote Jonathan Chait:
The
first blow to its coherence came when the authors faced questions about
their proposal to cap the tax deduction for employer-sponsored health
insurance, a politically risky but economist-approved change that
provided most of its money for covering the uninsured. Asked about this
piece of their plan, the authors changed the language within hours to
ratchet back its scope, insulating them from political attacks, but also
neutering its value.
After
that came the Congressional Budget Office report that described the way
Obamacare would cause labor supply to shrink from the labor markets, as
recipients escaped "job lock," or took advantage of the Obamacare
subsidies to reduce their hours or retire. The GOP opted to describe
this as "job killing," but what they didn't take into consideration was
that this new plan from Coburn, Burr, and Hatch "
would likely have approximately the same “job-killing” impact as Obamacare."
February 2014:
"Republicans can easily pick [Obamacare] apart, but they won't win over voters without their own ideas." -- Karl Rove, once again
Chait returns to this theme a month later,
gathering string from numerous pieces of reporting, all suggesting that
the process of crafting a "Republican alternative to Obamacare" is
beginning anew.
Daniel Newhauser, giving Roll Call readers the inside scoop in a piece titled "
GOP Leaders to Huddle on Obamacare Alternative," describes the process with sentences like: "House Republican leaders will meet Friday
to begin
crafting an alternative to Democrats’ health care law." An interview
with Eric Cantor by The Wall Street Journal's Gerald Seib (in a piece
titled "
Cantor Pushes the GOP to Spell Out Its Agenda"), yields these quotes from the House majority leader:
"Our members are going to get very excited
if we can provide alternatives, not just be a party that's against whatever the president is for."
And:
"We
may have an opportunity for an alternative to be put in place."
Emphasis mine throughout. As Chait notes,
all of this has a purpose:
Carping
from the sidelines is a great strategy for Republicans because status
quo bias is extremely powerful. It lets them highlight the downside of
every trade-off without owning any downside of their own. They can
vaguely promise to solve any problem with the status quo ante without
exposing themselves to the risk any real reform entails. Republicans can
exploit the disruption of the transition to Obamacare unencumbered by
the reality that their own plans are even more disruptive.
"The
amazing thing," says Chait, "is that House Republicans have managed to
sustain this any-day-now stance since the outset of a health-care debate
that began five years ago."
Welcome to Year Six.
If you've got a story you want to share on Sunday, feel free to drop me a line!
[You'll find more Sunday Reads and more on
my Rebel Mouse page. What stories mattered to you this week?
Drop me a line and let us know what you are reading.]
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