Perspective | Trump keeps promising great health care. The GOP still has no plan.

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Perspective | Trump keeps promising great health care. The GOP still has no plan.
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Perspective: Trump keeps promising great healthcare. The GOP still has no plan.

President Trump leaves after attending the weekly Republican policy luncheon on Capitol Hill Tuesday. By Peter Suderman Peter Suderman is features editor at Reason.

On the campaign trail, Trump made similarly broad promises: “I am going to take care of everybody,” he told “60 Minutes” in 2015. “I don’t care if it costs me votes or not. Everybody’s going to be taken care of much better than they’re taken care of now.” When asked how, he added, “The government’s going to pay for it. But we’re going to save so much money on the other side.” He praised foreign single payer systems while promising to replace Obamacare with a system based on private plans.

In the United States, a system based on private plans sold through heavily regulated marketplaces would look a lot like Obamacare, which the Trump administration is trying to overturn in court. Simply eliminating the Affordable Care Act without any replacement would return the country to the pre-Obamacare status quo, which Trump himself found unacceptable.

Which doesn’t mean Republicans have never had any ideas. It’s just that they all fall short of what Trump says he supports: Block granting Obamacare to the states, like Sens. Lindsey O. Graham and Bill Cassidy have proposed, wouldn’t result in universal coverage. Other conservative plans would alter Obamacare’s rules governing preexisting conditions, requiring insurers to cover people only if they maintain continuous coverage.

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