https://www.nationalreview.com/magazine/2022/09/12/medical-breakthrough/
Making conservative health reform popular
For a generation of Republican political candidates, Obamacare was a gift that kept on giving. The Democrats’ enactment of the Affordable Care Act in 2010 gave the GOP historic gains in that year’s midterms; its bungled implementation handed them the Senate in 2014; and soaring premiums helped Donald Trump capture the White House in 2016.
But the Trump administration fell well short of its promises to replace Obamacare with “something terrific,” and many Republicans have become wary of entering a complex policy minefield. This aversion has had electoral consequences: Voters who cited health care as their most important issue cast their ballots three to one for Biden over Trump in November 2020 — accounting for much of the swing from 2016.
Any Republican hoping to win the White House in 2024 cannot simply run against Obamacare, but must have a health-care agenda that is compelling to voters — and, once in office, will need the ability to deliver on it.
With a combination of $1.2 trillion per year in private insurance and $1.9 trillion per year of public spending on health care, Americans enjoy the best access to cutting-edge medical care in the world — without comprehensive rationing of drugs, physician services, or hospital procedures. Yet America’s great willingness to pay for access to ever-improving medical capabilities has led it to neglect keeping costs under control. In November 2021, while 82 percent of Americans rated the quality of the health care they received “excellent” or “good” (only 3 percent judged it “poor”), 77 percent were dissatisfied with the nation’s health-care costs.