No Republican senator voted for Obamacare. Take a look.

What Snowe did was much earlier on—she had voted “yes” to letting the bill get out of committee in the first place. However, had she voted “no” it wouldn’t have mattered. It wouldn’t have kept the bill in committee, because the Democrats had plenty of “yes” votes for that without hers.

But all the Republicans stuck together when it came time to vote against the bill. One of the many many myths on the right is that they didn’t. But they did. They simply didn’t have enough votes to stop it, because there weren’t enough Republicans, and the Democrats stuck together, too. Strict party lines for both parties.

Well I agree that if your are going to have pre-existing coverage and high risk pools to cover them then there is a sizeable cost that has to be paid. But the numbers I’ve seen suggest that this sizeable cost is not the big one. The big one is the 20 million highly subsidized policies. The IG tried to sign-up dozens of fake illegal immigrants and found 9 out of 10 succeeded. (Yes, a small fraction of the big cost number.)

The current insurance model of 3rd party payment combined with tort attacks on unsat. service is VASTLY inefficient. The total tort payouts are tiny but defensive medical practices cost at least $0.5T/yr. A third large issue is the asymmetry of information. Many auto owners do understand the repairs needed before speaking to a mechanic. Most don’t with doctors. And yes, doctors on average may be as unscrupulous as a mechanic or worse. An example is the new practice of hospital patients hiring medical expert advocates to represent them and treat hospital doctors/personnel as adversaries.

So in short (too late) there IS an abundance of “free lunch” to go around in the bigger cost/benefit analysis.

PS: Thanks for the response on Obamacare. So do we ultimately have the votes of Republicans like Snow and Collins to thank for the original 60 votes in the Senate? So the GOPe stinks on defense as well as offense?

Problem is, you already know why it’s a “huge task”: most Americans no longer accept the type of proposal you’re offering. And if people with pre-existing conditions pay more—in most case, a LOT more—they simply won’t buy insurance and there will be a million more bleeding-heart stories every day. The GOP would be voted out of office and the Obamacare reform would itself be reformed by their liberal successors.

High-risk pools, which are subsidized for those who can’t afford them, must deal with the problem of pre-existing conditions. In fact, high-risk pools existed in most states prior to Obamacare, but they were often very expensive even with the subsidy. That will remain a problem.

It’s a “huge task” because there is no free lunch. The GOP needs to come up with a solution that is not just “conceptual” but is practical. What good is it otherwise?

Freedom and competition!

It wasn’t Obamacare that did that. The health insurance market hasn’t worked like a real market, a real business, for a long long time. The rules and regulations have been growing and growing over the course of many decades, and particularly with Medicare and Medicaid, as well as laws that say hospitals must not turn anyone away, high-risk pools, and many other requirements too numerous to list, the public has come to expect government control and interference with the health insurance market.

I agree with your statement. There is no disagreement anywhere that medical care in this country is broken.

Here is a very telling graph showing how just how bad it has become.

I recently came upon this site which appears to offer some ideas on what to replace Obamacare with. I am presently looking through the site and recommend yourself and others do also. It may provide some constructive ideas.

What scares me now is that the republicans, or some republicans are getting cold feet about the repeal. Basically because they do not have anything ready to replace it with.

If so, that shows monumental stupidity on their part. They have had six years to develop ideas and craft them into hopefully workable policy so as to provide a ready or at least partially ready replacement for Obamacare.

While I would like to see the government completely exit the healthcare business, I do not think that it is realistic at this point. However I do think we could initiate reforms to point us in that direction so that we can eventually get there.

A brief excerpt from one of the articles at the site I referred to above,

Whatever an alternative’s exact features, there are three elements that are important, and perhaps essential, to its being a political and policy winner–and thus to its being instrumental in bringing about Obamacare’s full repeal. First, a winning alternative must be something that can be sold to the American people on the political stump. It must therefore be suitably simple and explainable. Second, it cannot afford to invite a political backlash by proposing ideas that are lightning rods for criticism. For example, it shouldn’t veer into important but nevertheless tangential issues like Medicare reform, and it shouldn’t threaten the existence of the tax break for those with employer-provided health insurance (although it can–and should–prevent that tax break from being an open-ended public subsidy for ever-more-expensive plans). Third, and most importantly, it must meaningfully address Americans’ trio of core goals for real health-care reform: lowering costs, dealing with preexisting conditions, and significantly increasing the number of people who are insured versus the pre-Obamacare status quo. Indeed, failing to offer solutions to each of these concerns is the easiest way for a conservative alternative to become a target for criticism. An alternative that meaningfully addresses only two of these three core goals would be toppled over like a two-legged stool.

Perhaps the discussion should progress from whether or not to repeal obamacare, to how to repeal obamacare and what to replace it with.

Ok, your final bill is an amendment to an existing law (the Patient Protection and Affordable Care Act) that already overcame a filibuster.

I can see how this kinda feels like Obamacare was passed via an end-run around the filibuster. After all, everyone expected a 2nd cloture vote. But they only got one.

See here (from a former Parliamentarian of the United States Senate):

Obamacare was not passed using budget reconciliation

Simply put, The Democrats built a huge steel building (Obamacare) but failed to consult any structural engineers (Republicans) during the design phase. Now that the building is collapsing, they’re blaming the structural engineers. This is SOP from the Dems. Write a wide ranging all encompassing legislative Bill and hope to high heaven it works out. “Because they mean well”.

On that last point, if I had a nickel every time one of their well meaning legislative bills overloaded the economy or collapsed, I would have enough money to pay for a scribe to enter my comments here.

Please notice what I actually wrote. I wrote that the final bill was passed by reconciliation.

Initially, each legislative branch passed its own bill in the usual way (this was before the election of Brown).

Here’s a summary of the rather complex history of the reconciliation part of the bill:

On March 30, 2010 Obama signed the Health Care and Education Reconciliation Act of 2010, 7 days after he had signed the Patient Protection and Affordable Care Act into law. At the end of 2009, each house of Congress passed its own health care reform bill, but neither house passed the other bill. The Senate bill, the Patient Protection and Affordable Care Act, became the most viable avenue to reform following the death of Democratic Senator Ted Kennedy and his replacement by Republican Scott Brown. Lacking a filibuster-proof super-majority in the Senate, the Obama administration and House Speaker Nancy Pelosi began encouraging the House to pass the Senate bill, then pass a new bill to amend it using the reconciliation process.

Which they did, and that was the final version. Here’s another explanation of how it all went down.