The Humble Libertarian

Building a small army to take over the world and... leave everybody alone.


Sunday, March 25, 2012

Why Ryancare and Obamacare look so similar

From Romneycare to Obamacare to Ryancare. Yes, the Republicans do have their version of government controlled and mandated healthcare and it's no different than Obamacare. In fact, Republicans wrote the blueprint for Obamacare back in 1993.
Let’s play a game. I’ll describe a health-care bill to you. Then you tell me if I’m describing President Obama’s Affordable Care Act or the budget released this week by Rep. Paul Ryan (R-Wis.). The bill works like this: The federal government subsidizes Americans to participate in health insurance markets known as “exchanges.” Inside these exchanges, insurers can’t discriminate based on pre-existing conditions. Individuals can choose to go without insurance, but if they do so, they pay a penalty. To keep premium costs down, the government ties the size of the subsidy to the second-least-expensive plan in the market — a process known as “competitive bidding,” which encourages consumers to choose cheaper plans. This is, of course, a trick question. That paragraph describes both the Affordable Care Act and Ryan’s proposed Medicare reforms. The insurance markets in both plans are essentially identical. And for good reason. The Affordable Care Act was based on two decades of Republican thinking about health care. The basic structure was first proposed by the conservative Heritage Foundation in 1989, first written into a bill by Senate Republicans in 1993, and first passed into law by a Republican governor by the name of Mitt Romney in 2005. About 2008, Democrats decided they could live with a system based on private health insurers, federal subsidies and an individual mandate as long as it produced universal coverage. A year later, Republicans decided they couldn’t live with such a system, at least not if a Democratic president was proposing it.
Read the rest here
The Washington Post