Obamacare Alternative: A Growing Consensus and Emerging Debate

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Ten prominent policy experts have released a new Obamacare alternative published by the American Enterprise Institute. The most important part of any Obamacare alternative is how it would address the longstanding inequality in the tax code (which favors employer-based insurance over individually purchased insurance) that’s at the root of our nation’s (pre-Obamacare) health-care woes. It’s therefore encouraging to see that this is another prominent proposal—along with the one that Ed Gillespie almost rode to victory in the Virginia senate race, and the one introduced by Tom Price in the House (and cosponsored by Jeb Hensarling, Trey Gowdy, and 77 others)—that has adopted the tax treatment proposed by “An Alternative to Obamacare” (originally released by the 2017 Project).

“An Alternative to Obamacare,” and all of the proposals based upon it, would leave the tax treatment of the typical employer-based insurance plan alone, while closing a tax loophole at the high end. These proposals would do so by capping the tax break for employer-based insurance at $20,000 for a family plan an $8,000 for an individual plan. (A family with, say, a $23,000 family plan would still get their full tax break on the first $20,000, just not on the last $3,000.) These proposals would likewise offer a simple, refundable, non-income-tested tax credit for those in the individual market—thereby providing a long-overdue tax break to those who buy health insurance on their own—in the following amounts: $1,200 for those under the age of 35; $2,100 for those between 35 and 50; $3,000 for those 50 and over; and $900 per child. And they would offer a one-time, $1,000-per-person tax credit to those who have or who open a health savings account (HSA).

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