设万维读者为首页 广告服务 技术服务 联系我们 关于万维
简体 繁体 手机版
分类广告
版主:红树林
万维读者网 > 五 味 斋 > 帖子
Rand Paul推出奥八健保替代议案。
送交者: 冬冬 2017年01月26日09:48:18 于 [五 味 斋] 发送悄悄话

Rand Paul Unveils ObamaCare Replacement Bill


Senator Rand Paul (R-Ky.) on Tuesday introduced legislation to replace ObamaCare with, as he put it in a press release, “a health care plan grounded in broadly supported conservative reforms.” According to Paul (shown), the ObamaCare Replacement Act would both repeal the most onerous provisions of the Affordable Care Act (ACA) and provide Americans with greater flexibility in purchasing health insurance and care.

“Getting government out of the American people’s way and putting them back in charge of their own health care decisions will deliver a strong, efficient system that doesn’t force them to empty out their pockets to cover their medical bills,” Paul said.

There is no doubt that ObamaCare needs to be repealed. Indeed, as Paul declared in a January 2 op-ed, “It cannot happen soon enough.” The senator pointed to the law’s “exploding” premiums, the failure of the co-ops, and the high cost of even subsidized coverage as reasons to rid America of the ACA. He also argued that replacement needs to happen at the same time as repeal or else “the repealers risk assuming the blame for the continued unraveling of ObamaCare,” a sentiment he claimed is shared by President Donald Trump.

According to a fact sheet posted on Paul’s Senate website, the ObamaCare Replacement Act would repeal the individual and employer mandates as well as numerous mandates on insurers that restrict the availability of low-cost insurance while driving up the cost of care.

The bill also aims to provide tax incentives for the purchase of insurance and care. It would allow individuals who buy insurance on their own to deduct the premiums from their income for tax purposes, just as employers have been able to do for decades, thereby loosening the ties between employment and insurance without adversely affecting employer-based coverage as ObamaCare does. The bill would expand the tax credit for Health Savings Accounts (HSAs), allow individuals to contribute unlimited amounts to HSAs, and greatly increase the ways in which HSA contributions can be spent, thus giving individuals more control over their healthcare spending and a stronger incentive to economize. (ObamaCare, premised on the belief that Washington knows best, severely restricted HSA contributions and allowable expenditures.) Paul’s legislation would also let physicians deduct free care they provide, making them more likely to offer it, as they commonly did before the government started assuming the role of healthcare provider.

Realizing that repealing the ACA’s insurance mandates might have the effect of stripping many people with pre-existing conditions of their coverage, Paul includes two provisions in his bill to offset this. First, he gives individuals with such conditions a two-year grace period in which to enroll in coverage. Second, he reinstates a provision of the 1996 Health Insurance Portability and Accountability Act (HIPAA) that guarantees individuals with pre-existing conditions continuous coverage.

Paul’s bill allows insurance companies to sell plans across state lines, which in theory should increase competition and lower prices. However, the bill also includes numerous restrictions on this practice that could reduce its effectiveness.

Other provisions of the legislation would permit more individuals, organizations, and businesses to band together to buy health insurance. Large groups generally have lower premiums and more generous coverage than small groups and individuals because the costs can be spread among more people.

The bill would also “allow states to make changes to their Medicaid plans without interference from Washington,” the fact sheet says.

“Senator Paul’s reform package certainly represents a great step forward from the absurdity of Obamacare and would help liberalize many aspects of modern health insurance,” wrote Tho Bishop of the Ludwig von Mises Institute. But, he noted, it still doesn’t get to the root of the problem: the high cost of healthcare, brought on by a century or more of government interference that has restricted the supply of care while increasing demand for it by creating a reliance on third-party payments. Yes, Paul’s bill would give individuals more flexibility, but they would still have to play by Uncle Sam’s rules to one degree or another. Some of the provisions in the bill — such as the return to HIPAA’s continuous-coverage mandate or the requirement that some of the newly formed insurance pools not restrict membership to the reasonably healthy — would simply replace one form of market interference with another. Furthermore, the most compelling reason to repeal ObamaCare is that it is unconstitutional, yet some of the provisions in Paul’s bill likewise fall outside the federal government’s enumerated powers.

Paul (cumulative Freedom Index score: 93 percent) isn’t the first Republican in the Senate to introduce ObamaCare replacement legislation. However, given that the first bill was introduced by Senators Bill Cassidy of Louisiana (Freedom Index score: 65 percent) and Susan Collins of Maine (40 percent), it’s hardly surprising that Paul’s is the more far-reaching of the two. According to The Hill, the Cassidy-Collins bill is “more centrist, keeping ObamaCare’s taxes and letting states choose to keep the existing healthcare law if they wanted.” Of course, the fact that Paul’s bill is considered “radical,” observed Bishop, is “a sign of how few in the Federal government understand the basic problem it has created.”

The ObamaCare Replacement Act may therefore be the best that constitutionalists can hope to get from Congress at this time. Whether it will pass is anyone’s guess, as is whether Trump would sign it. But his swift action to put the brakes on as much of ObamaCare as he can, coupled with his reported endorsement of Paul’s strategy, suggests that he just might.

       

Please review our Comment Policy before posting a comment


0%(0)
0%(0)
      对,言必行行必果。阿拉喜欢的作风  /无内容 - Turkey 01/26/17 (129)
        不管对不对,至少 He meant what he said - 对对眼 01/26/17 (125)
            /无内容 - Turkey 01/26/17 (86)
            最可笑地是力八乳老上当,这一调查投票作鄙, - 胡鲁 01/26/17 (113)
              你说的那个nasa是对的  /无内容 - Turkey 01/26/17 (108)
                是啊,黑八太腐败,把美国根本都毁了,川大大学习大大反腐  /无内容 - 胡鲁 01/26/17 (116)
                  所以那时候我说或许小习能赢 - Turkey 01/26/17 (94)
              嗯。看来该强势的时候真得强势。否则他们真的不知道天高地厚了 - Turkey 01/26/17 (149)
      晕,我没看帖子,原来你已经在这里。  /无内容 - 淡紫 01/26/17 (105)
        忙着。给床铺点个赞, 嘿嘿  /无内容 - 对对眼 01/26/17 (116)
          多来发帖子,我们喜欢看  /无内容 - 淡紫 01/26/17 (125)
            好的。等过完这阵。  /无内容 - 对对眼 01/26/17 (105)
      曲指算来,今天是床铺正式上班才第四天。就干了 - 对对眼 01/26/17 (126)
      清那孙子兵法,速战速决,小雪花都不知道抗义啥好了。  /无内容 - 胡鲁 01/26/17 (131)
        实在太恶心。就因为床普老老年的一句扑喜, - 对对眼 01/26/17 (141)
          这帮垃圾女表只有有让老克猛插她们的扑喜让她们爽歪歪才高兴  /无内容 - 对对眼 01/26/17 (120)
            老克老希在就职典礼上的表情太经典了,偷看和监视。哈哈  /无内容 - Turkey 01/26/17 (101)
              丫看见漂亮标致的女人就有插的冲动。克太能不紧盯,嘿嘿  /无内容 - 对对眼 01/26/17 (93)
                如果阿拉是老希,阿拉不会去盯 - Turkey 01/26/17 (109)
                  篱笆汝媒体说希腊力深情地看着女权示威游行大赞她们的勇气 - 对对眼 01/26/17 (128)
                    一群脑袋挤扁了的。哈哈  /无内容 - Turkey 01/26/17 (96)
            麦当娜这种谁反窗普就给谁口,也就阿润喜欢。  /无内容 - 胡鲁 01/26/17 (62)
          那2亿美金真的给冻住了?盖了帽了!奥黑的穆斯林嘴脸 - 对对眼 01/26/17 (101)
            老妖婆奥不瑞特要改信真主,这力八乳脑袋灌多少水啊。  /无内容 - 胡鲁 01/26/17 (98)
              她不是犹太人么? 怎么回事?  /无内容 - 冬冬 01/26/17 (81)
              这时候就不怕真主信徒要让LGBT统统石刑死啦死啦的了  /无内容 - 对对眼 01/26/17 (112)
          对,黑鬼把NASA地钱都搞气象烟酒,美国连飞船都没了。  /无内容 - 胡鲁 01/26/17 (124)
    还有修油管,查选票舞鄙,刀刀见血。片片有钱。  /无内容 - 胡鲁 01/26/17 (89)
  pifu同志得赶快加紧学习,才跟得上形势。  /无内容 - 衣冠禽兽 01/26/17 (131)
    为什么非要跟上形势。。。。。? - 括号 01/26/17 (144)
      没错,跟不上的要拎着人家逼着人家跟他们一条战线。  /无内容 - pifu01 01/26/17 (89)
      皮夫很成熟了,没啥担心,她地两个爱女正是成长中。  /无内容 - 胡鲁 01/26/17 (111)
        前些年国内刚开始有手机,地铁车厢里非常吵,吵得了不得廖,  /无内容 - cnoversea 01/26/17 (92)
      还不停散发学习资料,表有来头,做给吃瓜们看,  /无内容 - cnoversea 01/26/17 (103)
  共和党干实事效率高  /无内容 - 老帽 01/26/17 (125)
    Ron Paul茶党教父的儿子也不错。  /无内容 - 冬冬 01/26/17 (86)
标 题 (必选项):
内 容 (选填项):
实用资讯
北美最全的折扣机票网站
贝佳药业美国专利【骨精华】消关节痛、骨刺、五十肩【心血通】改善心绞痛
一周点击热帖 更多>>
一周回复热帖
历史上的今天:回复热帖
2016: 远牧师肯定强奸了柴玲(有图为证)
2016: 淡紫:街头艺人
2015: 厦大那个女教授肿么会跟长得那么恶心的
2015: 卢布到了65.7
2014: 刚才微博上增加了一个粉丝,一看是以前
2014: 可怜的韦唯,在我是歌手节目上唱太阳最
2013: 谈谈人的动物性
2013: “赡养”之意,与辈份无涉
2012: 呵,北京有大裤衩,苏州有低腰裤。
2012: 我觉得美国不能总是人为把利率压低,本