What if the GOP is able to repeal and replace the ACA with a conservative plan that offers coverage while reducing costs?
- A successful conservative plan might be modeled on Singapore, which combines catastrophic coverage, HSAs, and pricing competition to deliver universal coverage cheaply.
- Many traditional GOP supporters, including doctors, hospitals, and pharma, would strongly resist this kind of change as it might decrease their pricing power.
- Major reform will require 60 votes in the Senate, and it appears difficult to find a reform that will get buy-in from both parties.
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