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Let states implement health reform however they want?

November 19, 2010

Ezra Klein has a great article on a proposal by Senators Scott Brown (R, Mass) and Ron Wyden (D, Ore).

It basically says- go ahead, try to insure as many people as the federal health overhaul plans to insure.  If you can do it, you don’t have to follow any of the national requirements AND you’ll still get the same federal funds. From Klein-

What Wyden and Brown are offering is the chance for the various sides to prove that they’re right. If industry players make the system work better, then the states that prize their involvement will prosper. If conservative solutions are more efficient, that will be clear when their beneficiaries save money. If liberal ideas really work better, it’s time we found out. Forget repeal and replace, or even reform and replace. How about compete and succeed?

Could be an appealing challenge to folks who say they can do a better job.  I’d like to see how far this proposal goes.

2 Comments leave one →
  1. Craig permalink
    November 20, 2010 1:07 pm

    There is a provision in the law already for this – in 2017 states can apply to run their own program if it will cover as many as PPACA would cover. I think it makes sense for states to wait until they have experience of exchanges etc. to make their own stab at it.

    • November 21, 2010 10:21 pm

      Thanks for pointing that out Craig. That’s right-this bill would just speed up the time line to start in 2014.

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