Me in Politico.
Since Republicansâ€™ control pretty much everything in Washington and in most statehouses, they are accountable for the functioning of American government. Through â€œcollapse and replace,â€ they are effectively holding themselves hostage. And whatever the partisan calculus, such rhetoric introduces political and policy uncertainty that dampens insurer and consumer commitment to the new marketplaces.
The long-run trajectory should really concern Republicans. The American Health Care Act, the putative replacement for the ACA, produced a surprisingly emphatic victory for Democrats. It bolstered the national consensus that every American is entitled to affordable and decent health coverage.
If the marketplaces canâ€™t deliver on this promise, they wonâ€™t simply be scrapped. They will be supplanted by some form of expanded public coverage.
What does it mean to hold yourself hostage? Let me explain…