Health Care: Repeal, Replace, Or Fix/Improve?

As long ago, as, during President Clinton’s first – term in office, when he appointed his wife, Hillary Clinton, to create a better health care system (which subsequently, failed), there was a realization, the costs involved, for most Americans, was getting out – of – control. Some may remember, the political fights, that occurred, during that period. Little was addressed for about two decades, until President Obama, understood, and realized, there was an essential need, for a change, in this important component of American life! During the previous decades, medical and health costs, continued to rise, and many, were either unable to, or unwilling to spend, what was needed, to protect themselves! The result was, after more than nine months of political discussion, the Affordable Care Act (A.C.A.), often referred to as Obamacare, was passed, or as many Republicans believe, crammed through the Congress. Anyone paying attention, during the first half of this year, realizes, the Republicans, led by the rhetoric and efforts of President Trump, have tried to achieve their rhetorical promise, Repeal and Replace. However, this was part of an overall promise to create a better system, which would cost far less, and be much better. The realization of what’s been introduced, to date, does not necessarily make things any better, for the public. Let’s briefly review the 3 options: Repeal; Repeal and Replace; and/ or Fix and Improve.

1. Repeal: If the ACA were simply repealed, the impartial body, which examines and evaluates costs and benefits. of legislation, states, repealing this bill, would cause approximately 32 million, to lose their insurance, and increase rates, by approximately double! It seems, Paul Simon’s words, Everything looks better in black – and – white, may explain the lack of vision, and reality, of those who feel this makes sense!

2. Repeal and Replace: The legislation introduced, both in the House of Representatives, as well as Senate, appeared to focus more on eliminating Obama’s legacy, than addressing needs! In everything submitted, the proposed bills, were estimated to have, the potential impact, of over 20 million people losing their insurance. In addition, the latest Senate proposal, which permitted two tiers of insurance, one which provided true coverage, and another with very limited type, would, probably, have the impact, of substantially raising rates, because the healthiest people would come out of the full pool, and thus the actuarial rates/ costs, would rise substantially! In addition, the present commitment to Medicaid, which covers the neediest, and is the largest – single provider of health insurance, would be reduced significantly. How does this achieve the promised and promoted objectives?

3. Fix/ improve: Common sense might indicate this makes the most sense, and is the only course, which might attract bipartisan support, but, as you probably realize, common sense is rarely very common! Identify what’s wrong with the ACA, which any objective individual would admit, and preserve the finest aspects, but, proceed, in a realistic, directed manner, which fixes the challenges and necessities, while making health care, more efficient, effective and better!

Unfortunately, our politicians often make their decisions based, more on political considerations, than service to their constituents. All Americans should demand, some commitment, and adherence to effective, meaningful, relevant, common sense!

Richard has owned businesses, been a COO, CEO, Director of Development, consultant, professionally run events, consulted to thousands, conducted personal development seminars, worked on several political campaigns, for 4 decades. Rich has written three books and thousands of articles. Website: and LIKE the Facebook page for common sense politics:

Article Source:

Article Source: