Comparing the Republican ObamaCare Replacement Plans – Part VI


In the last five posts (see archives) I have reviewed five different replacement plans for ObamaCare that Republicans can consider as they look for the best ideas. These include the Patient CARE Act, the 2017 Project Alternative, Improving Health and Health Care Plan, the Sessions-Cassidy Plan, and The Exchange Plan. Each of these plans has strengths and weaknesses. Today we will compare them alongside each other:

Measures                       PCA                 2017            IHHP           S-C            EP           

Costs of Insurance             – $364pp        – $350pp               – ?                  – ?         -$385pp


Coverage Impact                   – 1.4%             – 6.1%               + 5.6%            +++       + 12.2%


Access to Providers                 + 5-22%         + 18-57%          + 9-44%         +++       + 4-98%


Medical Productivity                 + 2-6%           + 9%                + 12-20%          + ?        + 21%


Medicaid Reform                   Yes                  No                    Yes                  Yes             Yes


Medicare Reform                   No                   No                    Yes                  No            Yes


Federal Deficit Impact     $534 B         – $1.13 T        – $350 B           – ?     – $29 B                                                                                                                         

   (The IHHP plan lowers Medicare $1.56 Trillion over 10 yrs. The EP plan lowers the federal deficit $8 Trillion over the next 30 years.)                                                                                                                                                                                                                


PCA Patient CARE Act

2017The 2017 Project Alternative

IHHPImproving Health and Health Care Plan

S-CSessions-Cassidy Plan

EPThe Exchange Plan


This chart compares the five plans I have reviewed and how they stack up against one another on various measures. Some plans reduce the federal deficit faster than others, like the PCA and 2017 Alternative plans – but at the expense of fewer covered Americans. They also offer few or no reforms for Medicaid and Medicare.

Other plans, like IHHP, S-C and EP, tackle these entitlements with meaningful reforms that will greatly increase patient access and improve healthcare outcomes while also increasing the number of Americans covered. The IHHP and EP plans also make substantial progress in reducing the federal deficit. The EP plan is especially strong on solving the problem of entitlement insolvency. These are improvements that are politically correct and should entice Democratic support, especially from those Democrats who are up for re-election in 2018. I believe Republicans should choose from these last three plans, especially.


While the graphic may be confusing to some, the take-home message is simple: All of these plans will produce lower prices for health insurance with more freedom of choice. The best of these plans offer these substantial improvements over ObamaCare without new taxes while retaining the popular provisions of coverage of pre-existing conditions and children on their parents’ plan to age 26.

  • Lower prices for consumers
  • Greater coverage of the uninsured
  • Improved patient access to healthcare
  • Improved patient healthcare outcomes
  • Medicaid and Medicare reform that makes them solvent financially
  • Lower federal deficits


There is no reason our government cannot deliver a new healthcare plan that provides these important benefits to replace ObamaCare unless our politicians put party loyalty above the needs of the American people. Let’s get it done!

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