The key thing to understanding the debate over health care policy in the United States is that it's not really about health care policy, it's about money.
This may sound weird on first read, but there's actually not a lot of disagreement about the basic contours of health care policy. It seems like there is. But most of the policy debates are proxies for the underlying disagreements over whether and how much government should spend on health care.
The political challenge for Republicans has always been how to mask their ideological preference not to spend much (or any) on health care. To do that, they've mounted a sustained decades-long attack on any reform efforts as too costly, inefficient, unworkable, and a threat to liberty. At the same time, they've had to come up with a proposals of their own to make it sound like they actually have a workable health care policy: tax credits, health savings accounts, high risk pools, etc.
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