David Frum to the GOP: Get real!

Writing @ CNN.com:

Some Republicans talk of repealing the whole bill. That's not very realistic. Even supposing that Republicans miraculously capture both houses of Congress in November, repeal will require a presidential signature.

More relevantly: Do Republicans write a one-sentence bill declaring that the whole thing is repealed? Will they vote to reopen the "doughnut" hole for prescription drugs for seniors? To allow health insurers to deny coverage to people with pre-existing conditions? To kick millions of people off Medicaid?

It's unimaginable, impossible.

Frum then offers some suggestions for how Republicans can put away childish things and constructively engage healthcare reform in the months and years ahead. This one made me stand up and cheer.

We should quit defending employment-based health care. The leading Republican spokesman in the House on these issues, Rep. Paul Ryan, repeatedly complained during floor debate that the Obama plan would "dump" people out of employer-provided care into the exchanges. He said that as if it were a bad thing.

Yet free-market economists from Milton Friedman onward have identified employer-provided care as the original sin of American health care. Employers choose different policies for employees than those employees would choose for themselves. The cost is concealed.

Wages are depressed without employees understanding why. The day when every employee in America gets his or her insurance through an exchange will be a good day for market economics. It's true that the exchanges are subsidized. So is employer-provided care, to the tune of almost $200 billion a year. [bold emphasis mine]

The whole article is worth your time reading.