- - Monday, August 7, 2017


I have followed Obamacare since its inception and now realize its purpose was to empower the federal government with our health care. That didn’t work because it violated the Constitution. To reverse Obamacare, the Republicans must do the opposite: empower the states. That should be the premise and theme of the Republican health-care bill.

We should create a structure that is constitutional and transparent. The cornerstone should be to use federal tax-and-spend power to create a backstop for state-sponsored catastrophic coverage. Thus, under the Republican plan, states would create catastrophic coverage while the federal government would fill in gaps using existing or expanded Medicare and Medicaid programs. These programs could also be used to transition Americans away from Obamacare plans and into state plans.

With these state-sponsored plans, the free market would develop to provide better care at lower cost.


University Park, Md.

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