Blog No. 146. Trump and the Potemkin Agenda

Donald Trump’s affinity for things Russian is well known and, it now appears, extends well beyond his admiration for Vladimir Putin and his cronies. Indeed, Trump has taken his current political approach from a Russian strategy employed in 18th century. During the reign of Catherine II, legend has it, the Governor of Crimea, Grigory Potemkin[…]

Guest Blog. Redirecting Health Reform: A Real Republican Opportunity

A couple of years ago, Jeff Bauer and I and our wives shared a nightly dinner on a transatlantic crossing and became friends. Jeff and I stayed in touch and exchanged thoughts on various subject, including healthcare, a subject on which he is an expert and I am not. I was impressed by his expertise and intrigued by his perspectives on that challenging issue and I talked him into doing a guest blog. I believe that readers of RINOcracy.com will find it both informative and thought-provoking. ~ DMP.

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Redirecting Health Reform: A Real Republican Opportunity

By Jeffrey C. Bauer, Ph.D.

 

The intensely partisan debate over repairing or repealing the Affordable Care Act (ACA) is a waste of everyone’s time. Democrats begrudgingly admit that Obamacare is flawed, but they refuse to modify its core goal of reducing the number of uninsured Americans. Meanwhile, Republicans keep voting to repeal the law without offering a viable alternative for solving the serious problems of our medical care system.

Expanding access to a dysfunctional system will only make the situation worse, but returning to the pre-ACA marketplace will not make things any better. As I argue in Paradox and Imperatives in Health Care: Redirecting Reform for Efficiency and Effectiveness (CRC Press, 2015), it’s time to start from scratch. A new approach to reform is sorely needed to extract us from today’s lose-lose confrontation between defenders of a poorly crafted law and opponents who would return us to the failed marketplace that Obamacare attempted to address. […]