PETER SUDERMAN: The GOP’s Obamacare Repeal Bill Is Here. Is This Just Obamacare Lite?
Unlike Obamacare, which bases its credits on income, the GOP bills we’ve seen so far are based on age. That creates another set of political headaches, because it means that wealthier folks get tax credits, and because it means that older people would get less help than under Obamacare, in hopes of creating a scheme that lures more young and health people into the system.
The bill released tonight attempts to mitigate these problems by capping the refundable credit so that households earning more than $150,000 would be reduced, and individuals making more than $215,000 would get nothing at all. But that still leaves a credit that is refundable for most people, and adds a bit of additional administrative work: Under Obamacare, judging an individual’s employment and income has proven more than a little difficult, and the same would continue to be true here.
So Republicans would be replacing one set of insurance subsidies with another set of insurance subsidies, while killing the individual mandate but leaving many of the law’s insurance regulations intact (with a penalty for insurance gaps). There’s a reason that legislators like Michigan Rep. Justin Amash are already referring to it as “Obamacare 2.0.”
The brewing conservative/libertarian consensus seems to be that the GOP bill would modestly improve on some of ObamaCare’s faults, but does nothing to address the underlying (and government-created) maladies which add so much to health care’s expense.