Editorial Board

Republicans Start to Get Real on Health Care

A lightbulb goes on in the Senate.

Which tool?

Photographer: Christopher Furlong/Getty Images

Now that Republicans control both the executive and legislative branches, their plans to replace Obamacare -- yes, they exist -- will amount to more than just hot air. One new proposal shows they’re beginning to take their newfound responsibility seriously.

The bill, introduced by Senator Bill Cassidy of Louisiana with three Republican cosponsors, would keep the taxes and fees that fund the Affordable Care Act, and allow states to keep the basics of the law, including Medicaid funding, if they choose. States that opt out would receive funding to automatically enroll all uninsured residents into a plan covering catastrophic care. The individual mandate and other requirements would be history. “If we address that, we’ve repealed Obamacare,” Cassidy told Bloomberg News.