Mitt’s Plan
Health Care
On his first day in office, Mitt Romney will issue an executive order that paves the way for the federal government to issue Obamacare waivers to all fifty states. He will then work with Congress to repeal the full legislation as quickly as possible.
In place of Obamacare, Mitt will pursue policies that give each state the power to craft a health care reform plan that is best for its own citizens. The federal government’s role will be to help markets work by creating a level playing field for competition.
Restore State Leadership
Restore to the states the responsibility and resources to care for their poor, uninsured, and chronically ill:
Block grant Medicaid and other payments to states
Limit federal standards
States will experiment and learn from one another
Flexibility to deal with uninsured: e.g., charity, exchanges, subsidy for private coverage
Flexibility to deal with chronically ill: e.g., high-risk pools, reinsurance, risk adjustment
Empower Individual Ownership
Give a tax deduction to those who buy their own health insurance, just like those who buy it through their employers:
End tax discrimination
Greater consumer choice—can buy what you want, not only what your employer wants
Promote portability
Help control health care costs
Focus Federal Regulation
Focus federal regulation of health care on making markets work:
Correct common failures in the insurance market
Ensure that individuals with pre-existing conditions who are continuously covered for a specified period may not be denied coverage
Empower individuals and small businesses to form purchasing pools
Eliminate counterproductive federal constraints
Remove barriers to the sale of insurance across state lines
Allow providers to design plans that meet consumer needs
Reform Medical Liability
Reduce the influence of lawsuits on medical practice and costs:
Cap non-economic damages in medical malpractice lawsuits
Innovation grants for state reforms: health courts, alternative dispute resolution, etc.
Introduce Market Forces
Make health care more like a consumer market and less like a government program:
Unshackle HSAs—e.g., permit HSA funds to be used to pay insurance premiums
Promote “co-insurance” products
Encourage “Consumer Reports”-type rating of alternative insurance plans
Facilitate IT interoperability
Promote alternatives to “fee for service”