Each of these plans consists of some good ideas. But it’s like a novice trying to solve a Rubik’s Cube. Every conceivable scheme or solution creates new problems. None of them solve the problem because this problem is simply too complicated to “solve.”
“The idea that in this new political era, Congress and this new administration are going to remake health care is not realistic,” says James C. Capretta, a resident scholar at the American Enterprise Institute (AEI). “There are no simple one-line solutions to the problems. The tentacles of the current system run very deep because the system has been built up over decades. And that means change will necessarily be incremental.”
In other words, instead of throwing a Hail Mary and risking a huge interception, Republicans might be better off just trying to gain a few yards and move the ball down the field.
So how could a realistic (and not disastrous) health care system look? According to Capretta, the most plausible (and simplistic) plan would (A) retain the employer-based system (replacing the “Cadillac tax” with a better designed upper limit), (B) provide tax credits for people outside the system, and (C) provide Medicaid for everyone who can’t afford health insurance.