Saturday, November 23, 2013

Republicans and health care exchanges

Despite all the whining, Republicans especially need the exchanges to work.  All their alternative proposals depend on the same idea.  We should also look at the weaknesses in the exchanges as a fundamental weakness in the Republican approaches.  Private insurance is at the core of their plans.  But do we really want to go there?  Take a look at the experience of Oregon:
 Nothing about the law's difficult debut in Oregon or elsewhere has undermined its huge expansion of Medicaid or Medicare; indeed, the argument for a broader single-payer health-care system is very much intact. Instead, the elements of Obamacare that are failing are precisely those market-based initiatives that Republicans most want to work.

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