David Frum Reforms Health Care Reform

The Democratic Party has managed to single-handedly pass health care reform in the form of The Patiant Protection and Affordable Health Care Act (PAHCA). I don’t think anyone, especially Democrats, have suggested the end of health care reform is upon us. As a matter of fact, this health care reform bill lays down the foundation for future reform—which is why the PAHCA isn’t as ground breaking as some Doomsday prophets on Fox News, the GOP and the Tea Party suggest. Reiham Salam from National Review Online summarizes the reform proposals David Frum has suggested for future changes.

In summary of Salam’s summary, Frum proposes:

  1. Trimming/eliminating the tax exclusion found within the PAHCA.
  2. Minimalize or terminate employer-based health coverage.
  3. Losen minimal policy plan coverage regulations.

The PAHCA can do with more tax revenues funneled into it [proposal #1] (the $900 billion guideline President Obama picked was a bit arbitrary and unreasonable considering the size of the health care industry) and getting rid of the penalties that come with a system based on employer-based health coverage [proposal #2] would help small businesses and even foster their growth and possibly growth in the economy, offsetting the penalty to the economy from getting rid of the tax exclusion.

The third, to losen the baseline coverage requirements is something I can definitely side with. When the Democratic Party decided to headline health care reform, I believed part of the reform would create a decent but reasonably low-level baseline insurance policy that could have been part of a public option. The baseline coverage rules for the insurance exchange mechanism have some rather strong demands and while those demands may create better coverage for people, not everyone needs to have such good coverage—especially people who are healthy and don’t need as much coverage.

These are all reasonable reform ideas. I don’t think Democrats ever said the recent health care reform was the last that would be necessary. Some bipartisanship and cooperative brain storming would be a good place to start.


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