Megan McArdle, Columnist

The Latest (Dim, Distant) Hope for Health-Care Reform

Three senators probably can't get enough fellow Republicans to support their bill, even though it has some ideas worth attempting.

How are you going to get Tom Cotton to vote for a bill that isn't super-conservative and cuts federal spending in his state?

Photographer: Chip Somodevilla/Getty Images
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Health-care reform is like one of those ill people in a Victorian novel. They are pronounced close to death, with no possibility of a cure … and then they linger on for hundreds of pages of breathless plotting, while the reader wonders: “Is this it? Could they possibly live after all that suffering?”

The latest bedside miracle is the Graham-Cassidy-Heller proposal, which would cut spending, cap spending, and shift spending away from states that expanded Medicaid to those that haven’t. At the same time, it would give states considerable discretion to design local solutions for health-care provision, something that, as I’ve noted before, is likely to be the key to getting us out of the morass in which we’re currently mired with Obamacare.