Repeal or replace?

The easiest route is compromise. That's what I've long recommended here and did starting with when Obamacare first came out. Even then I knew it was a totally crap plan that would end in disaster.


Easy ain't always best.

It is not impossible to repeal the ACA.

Proof:
  • Congress repealed the individual mandate penalty in 2017 with a simple majority vote (51–48 in the Senate) via budget reconciliation—zero Democrats needed.
  • The same reconciliation process can repeal every budget-related part of the ACA (subsidies, Medicaid expansion funding, taxes, exchanges) with 51 votes in the Senate.
  • As of January 2025, Republicans control the House, Senate, and White House. They can pass a full budgetary repeal with 51 votes and no filibuster.
The bureaucracy is huge, but it is not immortal. Once the money spigot is turned off, the 200,000 pages of regulations, the thousands of CMS/IRS employees, and the entire HealthCare.gov apparatus simply cease to be funded and shrink or vanish within months.

It has happened before (see the abrupt end of the CLASS Act, CO-OPs, IPAB, etc.). When Congress defunds something, the bureaucracy dies—no matter how big it got.

 
It should be, and it WILL end sooner or later; but at least you recognize that once a government program gets started, it's almost impossible to end it.
So, you roll it over into something that works. I came up with one that would, but the Left would absolutely hate it because it largely runs on individual responsibility rather than government fiat.
 
So, you roll it over into something that works. I came up with one that would, but the Left would absolutely hate it because it largely runs on individual responsibility rather than government fiat.
If it doesn't run on government fiat, that is eliminating ObamaCare, not replacing it. This is a good thing.

Go back to private health insurance.
 
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