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Not to be upstaged, yesterday House Budget Committee Chairman Paul Ryan delivered a speech outlining his vision for repealing and replacing Obamacare. He framed the argument thus:

We should empower patients, not only with resources and choices, but also with information. Patient-centered reform must promote transparency on price and quality - and give patients the incentives to act on this information. By putting the power into the hands of individuals, we can let competition work in health care just as it does everywhere else.

Instead of top-down price controls imposed by 15 bureaucrats at IPAB, let’s try bottom-up competition driven by 300 million consumers.”At its core, the health care problem is one of inflation, driven by the overutilization of services, dramatic underpayments, and massive inefficiency.”

Ryan argued, “At its core, the health care problem is one of inflation, driven by the overutilization of services, dramatic underpayments, and massive inefficiency.” All problems Obamacare makes worse, he maintained. His solutions were converting Medicare into a premium support system, block granting Medicaid to the states, and a portable, refundable tax credit for everyone else to purchase health insurance, among other market-based reforms.

View all comments (11) |

solidground| 9.28.11 @ 10:52AM

And by definition, any patient who willingly does not access and use available information must also be left to suffer the consequences, with no bailout from others. Yes, anyone who can afford health insurance but doesn't buy it is free to take the accompanying risk. And the rest of us are free to deny that person care when they need it.

Tibberton| 9.28.11 @ 1:13PM

Yes, anyone who can afford health insurance but doesn't buy it is free to take the accompanying risk. And the rest of us are free to deny that person care when they need it.

What we need is to repeal the law that requires hospitals to give emergency care to people who may not have insurance.

Look, people, this is simple. You should be able to choose not to buy health insurance. But if you choose not to, then when you call 911 you'd better have a credit card taped to your chest because that defibrillator costs money and those of us who pay our own way don't want to subsidize your broke ass.

Sean| 9.28.11 @ 11:03AM

A big problem is restrictions on who can provide health care. Get rid of the need of prescriptions to buy drugs. Limit liability to nurses and lower level professional to practice some basic medicine. The government needs to stop trying to restrict the number of new doctors. Get rid of medical insurance except for catastrophic care. Medical costs should be known upfront like any other business.

Imagine if people went in for a 15 minute oil change for their car and then were charged $2500. That is how ridiculous medical care has become in this country.

Ken (Old Texican)| 9.28.11 @ 11:05AM

Antle III
Texican VI here.

Nahhh! Mr. Ryan makes too much sense.

Deborah D | 9.28.11 @ 2:28PM

"Market-based solutions" -- music to my ears. Get government out of it and things will get better quickly.

George S| 9.28.11 @ 2:38PM

Tax credits are nice, but even better would be:

If you buy health insurance (self-employed, etc.) the premiums get deducted from your gross income.

Employers lose tax deductions, pass the cost to employees in terms of higher wages, and if the employees chose to purchase insurance with the converted cash then it is, too, deducted from their gross. Employees would then own that policy.

Watch the cost of health care drop as now everyone directly pays for their own insurance. The whole point of employer health benefits was to get around WWII wage freezes. I'm not sure but I think that WWII may have ended.

lillith| 9.28.11 @ 10:59PM

I work around high tech, high end medical care. Gov't has very little to do with the high prices. The insurance industries, medical device industries, and the heads of health care organizations are make serious money the way things are. They don;t want to change. Check the salaries of your local CEO of a health insurance company or hospital - they often have 10 - 20% yearly salary growth. I saw one exec to actually have 500% salary growth one year with no change in the company.

There are alot of people making millions on the way things stand today.

jacky | 9.29.11 @ 2:49AM

Go for it, Sarah, with all the God given gusto you posses!

aware| 9.29.11 @ 5:55AM

"market based solutions".....managed by the State, as usual.

"By putting the power into the hands of individuals..." Yeah, sure, no doubt by passing a law enforced by bureaucrats. Just waiting for "government" to open the warehouses of "freedom" so "individuals" can be "empowered".

yisong| 10.26.11 @ 9:55PM

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More Blog Posts by W. James Antle, III

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