John Goodman has a to-do list for reforming the PPACA:
Getting rid of the mandates, letting people choose their own insurance benefits, and giving everyone the same universal tax credit for health insurance would be a good start. More easily accessible health savings accounts for people in high-deductible plans is another good idea.
Every provision in ObamaCare that encourages employers either not to hire people or to reduce their hours should go. Everything in the law that prevents employers from providing individually owned health insurance that travels from job to job should go. And everything that makes HealthCare.gov more complicated than eHealth (a 10-year-old
private online exchange) should go.
I presume that most of the things that make HealthCare.gov more complicated than eHealth are due to its need to interact with an alphabet soup of government agencies, each with its own mutually-incompatible, frustrating, and obsolete access method. Those are in desperate need of reform but, sadly, experience suggests that they’ll only be reformed when it’s absolutely, positively, ten years later than they should have been replaced and then they’ll be replaced with something just as maddeningly obscure as what they’re replacing. What probably should have been done was to have established a set of standards in the context of the PPACA and mandated that the various agencies conform to them. Water under the bridge.
Meanwhile, I wish someone could provide a good explanation on the merits of why we continue to subsidize big business at the expense of small ones. It’s one of life’s mysteries.
Sadly, Republicans are in permanent attack mode while Democrats are in permanent defense mode. That makes it darned hard to hold an adult conversation on how the PPACA should be reformed.