Paul Ryan: Obamacare repeal is first priority under Trump

This especially since Obamacare is a Republican solution at heart. Probably smart especially since they spent the last 8 years demonizing it. Since Republicans and their media counterparts are masters at messaging it just may work.

 

It's not impossible, it's actually really easy given that they have the votes to do it and it is currently set to collapse all on its own anyway. The sooner everyone just makes their peace with it, the better off they'll be.

 

It is easy in theory, it is hard in practice unless they have a replacement, which would just be another version of Obama care.

 

It's actually really easy in practice as well. Repealing highly unpopular legislation when you have the votes to do so isn't very hard at all....especially when the really unpopular legislation is so ill-conceived that it's about to collapse on its own.

 

Sure if they want to just repeal and do nothing and anger tens of millions of voters, then it is easy.

 

Once you understand why private insurers have dropped ACA, you will understand why the GOP has no replacement plan.

There will be no full repeal to ACA.

 

I think you are overstating how much true outrage there would be....in fact, Obamacare existing in the first place is what "angered tens of millions of voters" and is why Republicans can do pretty much whatever they want to do. Now sure, there will be faux outrage that a failed policy was ended, and that'll be a hot issue inside of some liberal echo chambers.....but it won't resonate with the public.

 

If there are so few people who would be angry, then I am sure congress will just repeal and ignore, we will see.

 

No, I'm sure they'll push their own healthcare bill now that they actually get a say in it and don't have to overcome a president that wouldn't even consider repealing his failed signature legislation.

 

GOP had decades to come up with a plan but ignored the issue until Obamacare was passed, which was Romney plan. If they come up with a workable plan this time, great for them, Obama care served its purpose in that case.

 

No...the smart thing to do is the fix the problems that have arose in Obamacare......like it was designed to have happen. Starting from scratch is DUMB. A few EASY tweaks can do wonders.

 

So by that logic, the Democrats had decades to come up with a plan and the best they could muster is something that is set to collapse entirely in less than 8 years despite not really taking effect immediately upon passing it. I like the odds of the more grown up of the 2 awful parties coming up with something more feasible.

 

^This guy prides himself as not being a party shill..

You are nothing more than a GOP shill
At the very least you have some self awareness to attempt to lie to yourself as some neautral arbiter.

 

Not so much that they'll be few in number, but just small in political power. There are millions more on insurance now with subsidies to make healthcare affordable that are about to be disenfranchised. But Obamacare's customer base skews heavily toward people who are not feared by politicians because they don't have the affluence, the education, the free time, and the empowerment to organize and oppose the elected officials who screw them over.

 

Sure, but the general public understand that you can lose your job at anytime. And things like exclusion because of pre-existing condition, or no max limit, and of course high cost of health care impact everyone. No one like the health care system and would like more than just a repeal, but something better. It's on the GOP to deliver. And I think just a simple repeal isn't going to come across well to generally all folks.

EDIT: and to add, I think there is a difference between Paul Ryan and Trump on this. Trump might actually be somewhat in favor of a single payer system - after all, that's the best way to reduce costs.

 

But it is big government, never mind it is the cheapest. However, it will not get done within the next decade, you have insurance companies, medical and drug industries against it (because it reduces their profit), only when medical cost is totally out of control will you be able to get single payer, which might be a couple decades down the line.

 

Yes they each have their own views. And they might both have the best intentions. But political dynamics have a way of overpowering intentions. When Congress and Obama did the sequester, they thought there was no way they would do something so irresponsible as to let the sequester go into effect. They thought they were forcing each other to stay at the bargaining table. But it didn't work out that way. Ryan probably figures if they do a simple repeal now, it'll force both Republicans and Democrats to play ball on replacement language. Like the sequester, I'm concerned that political calculations will overrule rational governance and no replacement will ever find agreement. The inertia will leave us in the pre-Obamacare world.

 

If I have to take a bet, it's repeal without any replacement, with a promise for a replacement. And the replacement will not happen.

Ryan is going to convince Trump that we should just repeal now. Trump is going to bite, showing he's serious and doing things. And Trump is confident that he will be able to get a replacement later, as confident as Mexico will pay for the wall.

 

The Democrats screwed up by giving healthcare to Hillary in the 90s (who blew it through her arrogance). Their next chance was Obamacare but that was doomed as soon as they removed the Public Option (or some kind of Medicare buy-in). I don't recall enough details on the specific sausage making to remember what Republicans would have voted for if it was modified. My remembrance is that they basically didn't want any of it that would actually reform health care or get millions more covered. Can you refresh my memory on what they specifically wanted?

The Republican didn't even try when they controlled everything under Bush. Now that the Republicans spent 8 years saying Obamacare sucks (which it may) I have not heard a feasible alternative for covering folks with pre-existing conditions but ALSO keeping costs in check which is probably the biggest Obamacare failure.

Also how is it about to collapse? Because insurers are leaving the marketplaces? Wouldn't that just be justification for public option? Or could it be fixed with the "state lines" amendment?

 

Nothing is going to fix Obamacare. SS has been around for 80 years and its still kicking. Obamacare became a clear failure after 4 years and everyone was scrambling after 6 years. That kind of failure can't be fixed with 'tweaks'.

You can't take a risk based model (private insurance) and expect them to burden guaranteed losses. The only practical solution is for a single payer solution with private insurance as supplement.