Two years ago, long-frustrated advocates of national health reform rejoiced as Congress passed the Affordable Care Act (ACA).Â Before the act was even signed, opponents began a campaign they described as â€˜repeal and replace.â€™Â This label, it is now clear, is misleading.Â There is no agreed â€˜replacementâ€™ program. â€œRepealâ€ would kill expanded coverage for roughly 32 million low- and moderate-income Americans.
There is, however, a GOP program that goes beyond that, to roll back other health protections and roll back federal government activity to levels not seen since the 1930sâ€¦
This program has three pillars, which together may be more important than health reform. Thus far, these pillars have received less scrutiny than they deserve.