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Repealing, Replacing And What About Medicaid?

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In opinion pages across the country, editorials analyze the directions in play regarding effort to repeal and replace the health law, and how Medicaid could become a tool in GOP efforts to overhaul the health care system and the safety net.

The New York Times: Repeal And Compete
Modern conservatism, at least in its pre-Donald Trump incarnation, evolved to believe in a marriage of Edmund Burke and Milton Friedman, in which the wisdom of tradition and the wisdom of free markets were complementary ideas. Both, in their different ways, delivered a kind of bottom-up democratic wisdom — the first through the cumulative experiments of the human past, the second through the contemporary experiments enabled by choice and competition. In health care policy, however, conservatives tend to simply favor Friedman over Burke. That is, the right’s best health care minds believe that markets and competition can deliver lower costs and better care, and they believe it even though there is no clear example of a modern health care system built along the lines that they desire. (Ross Douthat, 1/25)

Los Angeles Times: Showing Panic Over Obamacare Repeal, GOP Senators Release Replacement Plan That (Almost) Makes Sense
If you’re following the health insurance debate—and since the coverage of more than 20 million Americans is under threat from the Trump White House and the Republican congressional majority, you should be—you’re going to be hearing a lot in the coming weeks about Cassidy-Collins. That’s an Obamacare replacement plan just introduced by Sens. Bill Cassidy (R-La.) and Susan Collins (R-Maine). Dubbed the Patient Freedom Act, It’s the first such proposal that indicates that the GOP is becoming increasingly panicked about the political price of repealing the Affordable Care Act outright, and increasingly desperate to reassure voters that the provisions of Obamacare they actually value can be retained without a break. (Michael Hiltzik, 1/24)

WBUR: Call It Obamacare Or The Trump Act, I Just Want My Patients To Be Able To Get Care 
I’m just not professionally or temperamentally wired for policy discussions. I am, however, temperamentally and professionally wired for doctoring, and here’s what I see: Undoing the Affordable Care Act with such rapid and angry vehemence will be bad for our health. (Steve Schlozman, 1/24)

USA Today: Let States Lead On Replacing Obamacare
The Department of Health and Human Services has discretion under the ACA to offer states waivers, formally “state innovation waivers,” from many of the law’s most

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