Stuart Butler, Vice President of Domestic Policy at the conservative Heritage Foundation has an op-ed in Thursday’s Washington Times, “Four Steps Can Heal Health Care.”He makes some very valuable points and proposes four steps toward reforming the health care system most people—liberals and conservatives —could agree on:
- Making sure every working family has access to an affordable private health plan
that could include state-based default plans with agreed upon minimum
benefits and premiums subsidized through reinsurance pools that spread
any adverse risk over the broad private market.
- Encouraging insurance exchanges not unlike those envisioned by Democrats but at the state level where Stuart sees these exchanges avoiding “endless Congressional micromanagement.”
- Reforming the existing federal tax preferences for health insurance by capping the value of these tax breaks as a means to encourage more efficient plans and raise revenue to help pay for premium subsidies
- Redesigning the Medicaid and SCHIP programs
by giving states the ability to streamline these programs and free-up
funds to expand the help the low-income people get for health
insurance—including vouchers to purchase private coverage.
The liberals are not going to achieve health care reform on their
own. Liberals and a few moderates aren’t either. Trying to get 52 or 55
votes in the Senate will not be enough. Without broad based
Congressional support opponents of any reform bill will cut it to
In order to make the country as a whole comfortable that the reworking of the American health care system
is going to be for the better we are going to need a broad consensus
that reaches into the ranks of at least some conservatives as well. The
American people need to see more than liberals and more than Democrats
standing up for it.
Don’t forget, 85% of all Americans have health insurance.
They may be worried about it and its future, but they have it and it
isn’t hard to scare them into thinking that the risks of change still
outweigh any big unproven new programs. Harry and Louise are still
alive and well and easily spooked.
Stuart Butler’s op-ed should remind Democrats that conservatives
have a lot to contribute to this debate, and if they really want to
build a broad based coalition toward health care reform
our people can feel comfortable with, it would be wise to reward
goodwill offerings like this with a goodwill opportunity to be
genuinely part of the process.