Two years ago, long-frustrated advocates of national health reform rejoiced as Congress passed the Affordable Care Act (ACA). Before the act was even signed, opponents began a campaign they described as ‘repeal and replace.’ This label, it is now clear, is misleading. There is no agreed ‘replacement’ program. “Repeal” 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 1930s…
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.