For John, BLUF: Action needs to be taken, but the Republicans are disunited and the Democrats are in a Zombie state. Nothing to see here; just move along.
Walter Russell Mead, in his American Interest piece yesterday, mentioned that the Aetna Insurance organization is pulling out of the remaining states where it officers under the Patient Protection and Affordable Care Act. That is not a good sign.♠
Here are two key paragraphs:
In any case, the thing that is slowly killing Obamacare, with or without Republican help, is the same thing that is making it so hard for the GOP to come up with an alternative: American health care costs too much. Solving this problem isn’t just about litigating the merits of Obamacare or Trumpcare; it’s about ensuring that the American people have access to the health care they want and need while keeping the country solvent.And I don't see how the advocated "single payer" solution will fix anything. That is changing the premium payer from the individual to the Federal (or State) government, with the money for such payments coming from taxes or from increased federal debt. That does nothing to get costs under control. If you want to see how that will work, think the Department of Veteran Affairs.
We can’t do this all at once by some mighty government fiat—or, for that matter, through a blind faith in private markets. It took two generations for us to work ourselves into our present mess, and it will take time to work our way back to a sane and sustainable system.
As Law Professor Glenn Harlan Reynolds says, "What can't go on won't go on." Hat tip to the InstaPundit.
Regards — Cliff
♠ And aren't some establishments still waivered from having to participate in the PP & ACA?