Stuart Varney of Fox Business asks some sharp questions to Heritage Action CEO Michael Needham regarding repealing and replacing Obamacare. There is a reason that many past presidents, with the exception of Obama, has been unsuccessful in passing comprehensive health care reform.
Many Americans don’t understand the budget reconciliation process. There are strict rules relating to provisions that can be passed on a majority vote at the Senate level. While you can make changes to certain taxes and spending initiatives, you cannot make new laws governing the healthcare marketplace. That can only be done through the legislative process that must overcome the filibuster, meaning they must get 60 votes for a bill to get consideration.
When Varney questioned Needham on his opposition to Ryan’s health care bill, he talked about his desires to replace government intervention with a free market platform where patients and doctors have more control of the process. As pointed out by Varney, the budget reconciliation process can’t do that.
Now it can eliminate subsidies and quicken the timeline for federal funding to Medicaid expansion, but any efforts to offer health insurance across state lines; provide health savings accounts; and offer a more free market model must be done through the traditional legislative process.
Even if the GOP successfully dismantles the Affordable Care Act, they will find it tough sledding to push through an alternative.