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Francis Wilkinson

Rand Paul Sticks to Old Health-Care Gimmick

The Kentucky senator isn't playing the Republicans' new "repeal and delay" game.
No bluffing.

No bluffing.

Photographer: Brendan Hoffman/Getty Images

Senator Rand Paul is skeptical. He thinks something's fishy about this whole "repeal and replace" thing that Republican congressional leaders have planned for Obamacare, which is basically the name for the multi-trillion-dollar U.S. health-care system and the complex web of insurance rules, subsidies and taxes that enables millions of Americans to obtain health insurance and, as a result, care.

After Republicans were handed control of Washington in November, their longtime insistence on "repeal and replace" began morphing into "repeal and delay." Politically, Republicans find this easy to justify. First, they are eager to avoid blame for throwing 20 million Americans off of their health insurance, causing some to forgo vital care and, as a consequence, expire prematurely and, worst case, publicly. Second, they have never actually had a replacement policy, do not now have a replacement policy, and, given ideological and cost constraints, are highly unlikely ever to have a replacement policy.