Former House Speaker John Boehner said Thursday that he believes Republicans in Congress must marry any efforts to replace the Affordable Care Act with efforts to repeal it.
Opponents of the ACA can probably succeed at making the ACA system more flexible, and giving states the ability to choose whether they want to operate ACA exchanges, or how they want to regulate the commercial coverage sold to their residents, Boehner said.
But “most of the Affordable Care Act is going to stay,” Boehner said.
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Popular ACA features, such as the subsidies that help low-income working people pay for coverage and restrictions on health insurers’ ability to consider people’s health when selling them coverage, are likely to stay, Boehner predicted.
Boehner, a Republican, represented Ohio in the House from 1991 through 2015.
Boehner said Republicans need to combine efforts to replace the ACA with efforts to repeal it because coming up with a replacement will be too difficult.
“Perfectly has always been the enemy of the good,” he said.
If Republicans repeal much or all of the ACA without replacing it, “anything that happens is your fault,” Boehner said. “You broke it.”
Boehner talked about the ACA in Orlando, Florida, at the HIMSS17 conference, which was organized by the Healthcare Information and Management Systems Society.
Matthew Eccles posted a video of the HIMSS17 on YouTube, and this article was based on a viewing of Eccles’ video.