WExaminer by Phillip Klein --
Barring radical changes, Republicans will not be passing a bill
that ushers in a new era of market-based healthcare.
In reality, the GOP
will either be passing legislation that rests on the same philosophical
premise as Obamacare, or will pass nothing at all, and thus keep
Obamacare itself in place.
Going into the healthcare debate in 2009, there was a clear
clash of healthcare visions. Those on the left, whose ideal would be a
single-payer system, at a minimum wanted to expand the role of
government and use a combination of subsidies and regulations to move
the United States in the direction of national healthcare.
Those on the right envisioned a different system that migrated
away from a world in which most people obtained coverage through
government and their employers, into one in which individuals controlled
their healthcare dollars, could take their plans with them from job to
job, and choice and competition drove down cost and improved access.
With Democrats in power Obamacare passed in 2010, triggering seven years
of political resistance among Republicans. When President Trump was
elected, there were a lot of news articles about how it meant the end of
the Obama legacy. But the real test is whether, at the end of the day,
Obama moved the ball forward for liberalism even after Trump's efforts
to undo his policies. On healthcare, if this bill is any indication, the
answer is clear that Obama moved the ball.