The guessing game – What will America’s new health care look like?

With the repeal of the Affordable Care Act (ACA) now in motion there is much speculation about what its replacement will look like.

President-elect Trump has recently promised that every American will be covered by health insurance which suggests he has a replacement plan in mind.  But as yet there are no details.

David Orentlicher, a professor of law at the Robert H. McKinney School of Law in Indiana speculates that Trump may be trying to follow the example of Vice-President-elect Pence in his position as Governor of Indiana.  At the time Pence tried to find some middle ground by combining conservative ideals with the provision of health insurance for everybody. At the time Pence signed onto the ACA’s Medicaid expansion, but added a health savings account feature and other parts that were more in line with the conservative model of individual responsibility.

Orentlicher uses an example that is in current use to demonstrate how this middle ground approach works.  In the case of Medicare Advantage private health coverage can be selected rather than traditional Medicare.  This model has the best of both worlds feel to it (at least from the conservative side of the fence) where everyone is covered but conservative principles are retained in its operation.

It will be interesting to see the unveiling of the details of the replacement plan in the coming months.

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