What would a Republican healthcare bill look like?
Democrats have chided Republicans for not offering their own healthcare ideas. But GOP attempts to turn the debate toward more incentives and fewer mandates have been rebuffed.
There’s no mystery about what Republicans don’t like in healthcare plans winding through Congress.Skip to next paragraph
Subscribe Today to the Monitor
In floor speeches for weeks, GOP leaders have slammed Democrats for trillion-dollar price tags, tax increases, Medicare cuts to seniors, expansion of government, and the exclusion of minority views, notably their own.
Democrats have disputed these claims, but also made a simpler response: Well, what’s your plan?
This week, even GOP governors, their states battered by surging healthcare costs, joined the chorus. California Gov. Arnold Schwarzenegger Tuesday called on “colleagues on both sides of the political aisle” to move forward on reform. In an opinion piece Monday, Louisiana Gov. Bobby Jindal urged Republicans in Congress to “join the battle of ideas.”
Perhaps they will. House majority leader Steny Hoyer (D) of Maryland and GOP whip Eric Cantor (R) of Virginia plan to meet Thursday to discuss possible areas of agreement. House GOP conservatives are meeting Wednesday with Health and Human Services Secretary Kathleen Sebelius on healthcare proposals.
But Republicans insist that they have been floating ideas for months that Democrats have simply ignored. They claim 37 GOP plans in the House and at least three in the Senate.
(Remember seeing members of Congress waving pieces of paper during President Obama’s speech to a joint session of Congress last month? Those were GOP healthcare proposals.)
So what are the Republican ideas?
Elements of GOP plans include:
• Tax credits to individuals who purchase health insurance on their own.
• Incentives for states and small businesses to band together and offer health insurance at lower costs.
• Tort reform to reduce costly “defensive medicine.”
• Incentives to save through health savings accounts.
• Incentives to promote prevention and wellness.
• Reforms to end discrimination on the basis of preexisting conditions.
• Breaking down barriers to purchasing health insurance across state lines.
Why didn't Republicans write their own bill?
But these proposals have not been cast in legislative language or officially scored by the Congressional Budget Office, so that costs, benefits, and trade-offs are transparent.
In the current partisan climate, GOP sponsors say offering their own comprehensive plan would be pointless. Of the five congressional panels that developed healthcare legislation, only the Senate Finance Committee attempted a bipartisan approach, and even that bid faltered.