https://www.nationalreview.com/2019/11/will-health-care-federalism-ever-have-a-chance/
A Democrat proposes a mirror image of conservative health-care thinking.
R epresentative Ro Khanna (D-CALIFORNIA DISTRICT 17) just introduced a bill whose premise conveys a sense of déjà vu. It would allow states to take the health-care money they already receive from numerous federal programs and use it to provide health care in the way they think best, rather than the way Washington prescribes.
It’s funny, because Khanna is a Democrat who openly admits he has no chance of passing his bill under a Republican president, and the last time we encountered this notion, it was in a Republican bill with zero Democratic support. Both sides want to give freedom to the states, but they can’t seem to agree on how.
Khanna’s bill is a pretty clean illustration of “federalism for me, but not for thee.” The bill offers states access to an amazing amount of federal funding, including the money that currently flows into their borders via Obamacare, Medicaid, and even Medicare. The government would waive a lot of regulations for these states, too.
But in order to get that leeway, states would have to pursue a very specific, very lefty goal: a single-payer program that provides comprehensive coverage to 95 percent of the population within five years and the rest of the population soon after that. The bill’s drafters seem blissfully unaware that red states might want more freedom to experiment, too — and that there might be Republican votes to be had granting them some.
For all their many flaws, Republicans weren’t so selfish when they floated their own most recent attempt at federalism, the Graham-Cassidy proposal that went down in flames about two years ago. A major feature of this plan was that it replaced Obamacare’s funding with block grants to states that they could use to meet their own health-care needs — even if that meant single-payer.