The Republicans who won the White House
and maintained control of Congress have campaigned on a firm — if
woefully fuzzy — promise to repeal and replace the Affordable Care Act.
If that is what they really plan to do, now
is the time to start getting as specific, and as realistic, as they can
about the details. The physical and financial health of millions of
Americans, and the ability of the entire health care system to serve
them, hangs in the balance.
President-elect Donald Trump has called the
ACA, known to friend and foe alike as Obamacare, a disaster, even as he
has promised that, "Nobody's going to be dying on the street if I'm
president."
But, no matter who is president, the
excruciatingly complex details of a future version of American health
care will be worked out in Congress.
By senators and representatives who may soon
realize that they don't want to be responsible for millions of Americans
who had health coverage under President Obama to lose it under
President Trump. By Utahns such as Senate Finance Committee Chairman
Orrin Hatch, who now lacks the excuse of having a Democrat in the White
House to veto whatever ACA alternative he might come up with.
The means to solving this problem are many. The metrics of success are two:
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