Republicans are making progress, albeit slowly, toward replacing Obamacare. Last year, three Republican senators — Tom Coburn, Richard Burr, and Orrin Hatch — outlined a serious plan to replace it with a set of health-care policies that are much more free-market and limited-government in orientation, and not just compared with Obamacare but compared with what we had before it. Senator Coburn is not, alas, in the new Congress, but the other two senators have offered a slightly revised version of the plan with Representative Fred Upton.
Conservatives who worry that Republicans will come up with “Obamacare Lite” and call it a replacement can rest easy about this plan. It has no individual mandate, no employer mandate, no federally supported exchanges, and no Independent Payment Advisory Board. Obamacare essentially outlaws what conservatives consider true health insurance (protection against the risk of financially devastating health expenses); this plan legalizes it, and allows it to compete on a more level playing field than even the pre-Obamacare system did.