Roadmap for the 21st Century: Health Care Reform

Published December 5, 2016

The Roadmap for the 21st Century Project is a collaboration of free-market experts nationwide reflecting their views on the major public policy choices facing the nation, particularly those affecting economic growth and prosperity.

This Roadmap paper, by the Working Group on Repealing and Replacing Obamacare, describes the promises President Barack Obama made with respect to his signature health care law, and how Obamacare has failed to deliver on every one of the promises. It then describes the key elements of a repeal-and-replace plan:

  • repealing the individual and employer mandates;
  • restoring a trillion dollars in Medicare cuts;
  • offering a universal health insurance tax credit;
  • giving control over Medicaid to the states;
  • re-establishing risk pools for the uninsurable and those with pre-existing conditions;
  • preserving employer self-insurance;
  • extending health savings accounts to all Americans;
  • and medical malpractice and liability reform.

The paper’s authors conclude:

The plan to replace Obamacare would make good on all the false promises Obama made for Obamacare. Health insurance costs would decline through the market incentives of health savings accounts available to all, market competition for consumer choice with universal health insurance tax credits, a national competitive market crossing state lines, and the repeal of costly Obamacare overregulation and taxes.

All Americans would be free to choose the health insurance they like, covering their preferred doctors. Universal health care would be assured for all when needed – with no individual mandate, no employer mandate, and trillions of dollars in reduced taxes, spending, and regulatory costs. The nearly $1 trillion in Medicare cuts would be reversed. This alternative would be far more popular with the American people than Obamacare.