by James C. Capretta, Douglas Holtz-Eakin
American Enterprise Institute
May 02, 2013
With the Patient Protection and Affordable Care Act’s (PPACA) most significant provisions scheduled to take effect in 2014, advocates for an alternative reform have two apparent options: repeal and replace the PPACA when the time is right, or undertake sequential reforms intended to improve its policy outcomes. Of course, in the current political context, neither appears promising. Nevertheless, there is merit to continued evaluation of full-scale alternatives to the PPACA. One common defense of the law is that there has been no competing alternative, which is not true. But there is virtue to continuing to develop and refine as many alternatives as may be proposed. Toward that end, this short paper outlines one practical, conservative approach to replacing the law with a market-based reform plan.



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