Why the GOP must pass a real ObamaCare replacement after it wins the Senate
You can't just be against something. You have to be for something, too.
It's looking increasingly likely that Republicans will win the Senate in the midterm elections, which means we can look forward to at least two more years of Washington doing nothing, and of permanent presidential campaigning and posturing — enough to make you forget that government is supposed to be about policy.
And there are important policies out there. Like ObamaCare. Maybe you've heard of it.
You may also have heard that the Republican Party is not exactly a huge fan of ObamaCare, that the GOP really, really, really wants to repeal ObamaCare, and not only wants to repeal ObamaCare, but "replace" it to boot.
Subscribe to The Week
Escape your echo chamber. Get the facts behind the news, plus analysis from multiple perspectives.
Sign up for The Week's Free Newsletters
From our morning news briefing to a weekly Good News Newsletter, get the best of The Week delivered directly to your inbox.
From our morning news briefing to a weekly Good News Newsletter, get the best of The Week delivered directly to your inbox.
But if you're a little hazy on the details of the "replace" part, don't feel too bad. Because the Republican Party has never said what this replacement ought to be.
There are understandable reasons for this, and not-so-understandable reasons for this.
The understandable reason is that most conservatives (myself included) genuinely feel that ObamaCare is a terrible policy and that overturning it is a valuable goal in itself. And conservatives recognize the practical political realities: It's a lot easier and more valuable in contemporary U.S. politics to make a case against a bad law than to make a case for a good one. If the GOP had put forward its own proposal, the Democrats would have been quick to demagogue it, changing the discussion.
The less understandable reason is that the GOP doesn't really have a good or clear health-care agenda, because it's a topic the party just hasn't thought too much about. Plus, any valuable proposal would risk angering some interest group. Many conservative ideas on health care are either pie-in-the-sky utopian free-market ideas that (much to my chagrin) would never become law, or ideas that tinker around the edges but are essentially meaningless.
But it's time to actually take a stand for an actual proposal, and put something on the table, and have a Republican Congress pass it. Sure, Obama will veto it, but it will set the groundwork for a future Republican administration.
The next Republican administration will have a serious chance to change health-care policy for the good in the U.S. But conservatives should be aware of a problem: There are some moderate Republicans who actually don't feel very strongly about repealing ObamaCare. They would much rather pass a law that doesn't really alter the status quo, and doesn't anger constituencies or voters, and still say they "repealed and replaced ObamaCare."
To prevent this, it's now time for real conservatives inside the GOP to take a stand not just against something, but for something.
Conservative health-care scholar Jim Capretta actually has such a proposal, and it's the best one that can pass Congress. It increases coverage while moving the U.S. closer to a free market in health care and helping to reduce costs. Here are the basics:
You can't just be against something. You have to be for something, too. And to set the groundwork for the next administration, it's now time for conservatives take a stand not just against ObamaCare, but for a sound conservative alternative.
Sign up for Today's Best Articles in your inbox
A free daily email with the biggest news stories of the day – and the best features from TheWeek.com
Pascal-Emmanuel Gobry is a writer and fellow at the Ethics and Public Policy Center. His writing has appeared at Forbes, The Atlantic, First Things, Commentary Magazine, The Daily Beast, The Federalist, Quartz, and other places. He lives in Paris with his beloved wife and daughter.
-
'Being more nuanced will not be easy for public health agencies'
Instant Opinion Opinion, comment and editorials of the day
By Justin Klawans, The Week US Published
-
Where did Democratic voters go?
Voter turnout dropped sharply for Democrats in 2024
By Joel Mathis, The Week US Published
-
4 tips to save as health care costs rise
The Explainer Co-pays, prescription medications and unexpected medical bills can really add up
By Becca Stanek, The Week US Published
-
US election: who the billionaires are backing
The Explainer More have endorsed Kamala Harris than Donald Trump, but among the 'ultra-rich' the split is more even
By Harriet Marsden, The Week UK Published
-
US election: where things stand with one week to go
The Explainer Harris' lead in the polls has been narrowing in Trump's favour, but her campaign remains 'cautiously optimistic'
By Harriet Marsden, The Week UK Published
-
Is Trump okay?
Today's Big Question Former president's mental fitness and alleged cognitive decline firmly back in the spotlight after 'bizarre' town hall event
By Harriet Marsden, The Week UK Published
-
The life and times of Kamala Harris
The Explainer The vice-president is narrowly leading the race to become the next US president. How did she get to where she is now?
By The Week UK Published
-
Will 'weirdly civil' VP debate move dial in US election?
Today's Big Question 'Diametrically opposed' candidates showed 'a lot of commonality' on some issues, but offered competing visions for America's future and democracy
By Harriet Marsden, The Week UK Published
-
1 of 6 'Trump Train' drivers liable in Biden bus blockade
Speed Read Only one of the accused was found liable in the case concerning the deliberate slowing of a 2020 Biden campaign bus
By Peter Weber, The Week US Published
-
How could J.D. Vance impact the special relationship?
Today's Big Question Trump's hawkish pick for VP said UK is the first 'truly Islamist country' with a nuclear weapon
By Harriet Marsden, The Week UK Published
-
Biden, Trump urge calm after assassination attempt
Speed Reads A 20-year-old gunman grazed Trump's ear and fatally shot a rally attendee on Saturday
By Peter Weber, The Week US Published