Whatever you call it, Trump and the GOP seem to be on the same page.
The House plan follows the guidelines I laid out in my recent address to Congress – expanding choice, lowering costs, and providing healthcare access for all.
This plan is part of a three-pronged reform process. In concert with the plan in front of Congress, I have directed Dr. Tom Price, our Secretary of Health and Human Services, to use his authority to reduce regulations that are driving up costs of care.
We are also working on reforms that lower the costs of care, like allowing Americans to purchase health insurance across state lines. You’ve heard me say that many, many times during the debates.
And from Paul Ryan:
We are going to repeal and replace Obamacare and we’re going to do it with a three-pronged approach…
That’s called reconciliation. That’s the American Health Care Act. There are only so many things you can do in that bill because of the Senate floor rules for reconciliation. You can’t put everything you want in that legislation because if you did, it would be filibustered and you couldn’t even bring it up for a vote in the Senate.
Number two, administrative action. This law, Obamacare, has 1,442 sections or instances that gives the secretary of HHS enormous amounts of discretion to administer health care, meaning I don’t think Barack Obama, Nancy Pelosi and Harry Reid when they crammed this bill through ever thought Donald Trump would be president and Tom Price would be the secretary of HHS.
So, number two in our three-pronged approach, administrative action where the health and human services secretary deregulates the marketplace and allows more choice and more competition to come in the marketplace.
Number three, and this is where I think there’s a lot of confusion all over the map — additional legislation that we feel is important and necessary to give us a truly competitive health care marketplace. So, think of things like interstate shopping. That’s a reform that we’ve long believed in; that we think is really important to get regulatory competition to give people even more choices.
Those of you who think the feds should get out of the health care reform business will not be pleased by any of this.
Those of you who think the GOP consists of a bunch of liars and charlatans will not be pleased by any of this.
Those of you who think there’s no way back to total lack of federal involvement, and who think the GOP in Congress includes a significant number of people (although hardly all!) who are competent and mean well, should be reassured that the proposed bill is just the beginning of the process.
What is that I often say? We’ll see.