"If you want to say the further and further this gets down the road, the harder and harder it gets to repeal, that's absolutely true," the aide said. "As far as repeal and replace goes, the problem with replace is that if you really want people to have these new benefits, it looks a hell of a lot like the Affordable Care Act. ... To make something like that work, you have to move in the direction of the ACA. You have to have a participating mechanism, you have to have a mechanism to fund it, you have to have a mechanism to fix parts of the market."At some point these guys are going to start taking some of the credit for this thing. After all, it's a program that tracks closely with certain policies pushed by conservative health care wonks in the not too distant past and it was passed though an arduous negotiation between representatives of the health care industry and conservative members of congress. The conservative Supreme Court then came along and made it possible to partially gut the one major expansion of the government's commitment to serve the poor --- the main element of the reforms that progressives could not walk away from.
|The "compromise" they ended up with in 2014 was $1,012. And Paul Ryan quietly celebrated with a nice cold bottle of Veuve Clicquot.|