A Conservative Blueprint for Universal Healthcare | MedPage Today - 0 views
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In 1989, a policy analyst at a leading conservative Washington, D.C. think tank described a workable planopens in a new tab or window in which private insurers, just as in Germany, provide universal coverage. This plan would:Change the current tax treatment of health insurance (which largely benefits people with employer-based coverage at the expense of lower income Americans)Declare that families face the responsibility of having adequate insuranceOffer government assistance to families unable to afford health coverage on their ownReform the Medicare program
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The middle planks of this conservative plan ultimately became the Affordable Care Act's (ACA) Marketplacesopens in a new tab or window, where families could purchase health insurance in a new, nationally regulated market with financial subsidies to cover costs for those with incomes below 400% of the federal poverty level (about $92,120opens in a new tab or window for a family of three).
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President Barack Obama signed the ACA into law 13 years ago today, transforming a patchwork system of individual health insurance markets into one that today could form a national framework for universal healthcare
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an "ACA for All" system would prevent government from operating health insurance while allowing it to regulate and finance health insurance for most Americans. The ACA for All would not be "socialized medicine" -- where government not only finances healthcare but supplies it through public hospitals, clinics, and the direct employment of clinicians. ACA for All would continue to rely on private industry (private doctors and private hospitals) and personal responsibility, and would limit the government's role in healthcare delivery.
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A Republican plan for universal healthcare would offer those with non-employer-based coverage an adequately sized tax deduction, big enough to cover the cost of a family health insurance plan. And, for the first time since the 1940s, individuals would pay taxes on the value of employer-based health insurance above a certain threshold (based on the average costopens in a new tab or window of a family health insurance plan).