I agree with Peter Suderman on achieving nothing. Well, they showed they didn’t agree on enough and they weren’t up to the challenge.
He further asserts that they also failed to establish a shared vision on health care policy.
What Republicans—and Democrats and independents and anyone else interested in a health care system that is more fair, more effective, and less expensive—need to do, then, is what they have largely failed to do for so many years: Start from the ground up, think comprehensively about the health system as a whole, develop a vision, and then debate and defend plans and policies that would bring us closer to it.
Its not that they had no thoughts. Most conservatives and Republicans supported expanded Health Savings Accounts (HSA), giving more control of Medicaid to state governments, repealing Obamacare entirely, and introducing more competition into the insurance market. But it didn’t fit together as an integrated whole.
And how about these items from Suderman:
. . . encouraging supply-side innovations, emphasizing cost reductions instead of subsidies, seeding the idea that insurance is financial protection rather than health care, emphasizing aid to the poor and needy rather than comprehensive universal coverage, focusing on eliminating fragmentation and favoritism in a system that for decades has been defined by it.
They didn’t think about health care from the ground up. They had an opportunity for years to develop what the health care industry ought to look like; how to de-control it.