The Democratic field of Presidential candidates appears to be wanting to push healthcare policy farther left than the Affordable Care Act, though the speed and degree varies, with the general final destination being Medicare For All. Phil Kerpen with American Commitment believes there’s something they could do in the second term of a Trump administration.
“Send all the money and the regulatory power to the state capitals,” said Kerpen. “Then have 50 fights on how to fix healthcare, rather than one. The idea being that if we get the money and the power out of Washington, we’ll be able to try some really market-oriented things that bring real choice and competition in at least some states. Then, we’ll be able to point to them as examples and build from that.”
This won’t fix the problem in every state.
“That wouldn’t mean any help for people in New York and California and other states that would keep all of Obamacare and make it even worse,” said Kerpen. “In a lot of places, in more conservative states, we would be able to move in a much more market, much more freedom-oriented direction where people would be able to choose plans that worked better for themselves and their family. I think that contrast is going to be the most important sort of political contrast.”
There’s no way Obamacare gets replaced with anything less government-based if a Democrat wins the White House.
“Democrats want everyone in a one-size fits all government plan where politicians and bureaucrats ultimately decide what is and is not covered,” said Kerpen. “Republicans want people to choose what plan is best for themselves and their families. I don’t think we’re going to be able to get there, unfortunately, through a big national piece of legislation.”
Kerpen notes that Republicans would need to control both houses of Congress and the Presidency to get it done.