After dozens of attempts to repeal Obamacare and two trips to the Supreme Court, Republicans finally found a friendly Texas judge to declare the ACA unconstitutional. While that ruling may be overturned, Republicans should worry that they risk being held to their repeated promises to “repeal and replace” the ACA with something “better, cheaper and covers everyone”.
As Republicans found in the last election, voters have come to like many of the provisions of the ACA. Insurance exchanges, premium support, coverage for preexisting conditions and even the individual mandate were ideas that came out of the conservative Heritage Foundation.
Conservatives once endorsed those provisions as an alternative to Hillary’s “public option” and applauded when Gov. Romney pushed through the Massachusetts health care law that the ACA was modeled after.
In 2009, Republicans decided to reject the reform ideas they had previously supported in an attempt to undermine the Obama presidency. In the eight years that followed, they successfully campaigned against the ACA, but failed to offer a plan to replace it. The rushed plan that came out of Walden’s Committee in 2017 would have gutted coverage for preexisting conditions, raised costs for seniors and women and left tens of millions without Medicaid coverage.
There is no magic pill for health care reform. Continuing to undermine the ACA without a better alternative is likely to further damage the Republican Party. It would be ironic if the Texas ruling ended up being what was needed to pass a “public option” or “Medicare for All”.
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