the link to Roy\u2019s updates page<\/a>.<\/p>\nWhat\u2019s refreshing about Roy\u2019s response to his fellow conservatives is his willingness to defend his ideas, but not to the point of brushing aside legitimate improvements.<\/p>\n
As to the biggest concern \u2013 that preserving ObamaCare\u2019s insurance exchanges makes it possible that Democrat congressional majorities in the future might use them as a springboard to a single-payer system \u2013 Roy replies, \u201cNo health-reform plan can singlehandedly prevent Democrats from doing whatever they want if they ever again have 2009-size, filibuster-proof majorities. But if that\u2019s the standard for constructive GOP reform plans, well, let\u2019s just call it a day.\u201d<\/p>\n
Roy\u2019s point is well taken, but it highlights a central tension among conservatives whenever federal policymaking is considered \u2013 Which is more important: Market efficiency or federalism?<\/p>\n
Policy wonks like Roy tend to favor efficiency as a way to lower spending and improve citizen-customer experiences. Constitutionalists like myself tend to favor federalism and the policy diversity that it affords. Of course, different regulatory regimes produce market inefficiencies. However, that just may be the price of freedom.<\/p>\n
Roy should be applauded for trying to make his ObamaCare alternative as strong as possible. Time will tell whether conservatives will come to favor an efficient, federally-regulated national market, or continue to favor a system that lets states and their citizens decide what works best for them.<\/p>\n","protected":false},"excerpt":{"rendered":"
Credit Avik Roy for being open-minded. A week after unveiling his ambitious \u2013 and controversial \u2013 reform of ObamaCare, Roy, a well-respected health policy expert, is incorporating some of the best criticisms as amendments to his plan. Most of the changes are highly technical, and not worth delving into in a short blog post. For […]<\/p>\n","protected":false},"author":9,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[3507,144,3007,582,3308,1829,862,35],"class_list":["post-21363","post","type-post","status-publish","format-standard","hentry","category-posts","tag-avik-roy","tag-constitution","tag-exchange","tag-federalism","tag-health","tag-insurance","tag-market","tag-obamacare"],"_links":{"self":[{"href":"https:\/\/cfif.org\/v\/freedom_line_blog\/wp-json\/wp\/v2\/posts\/21363","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cfif.org\/v\/freedom_line_blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cfif.org\/v\/freedom_line_blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cfif.org\/v\/freedom_line_blog\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/cfif.org\/v\/freedom_line_blog\/wp-json\/wp\/v2\/comments?post=21363"}],"version-history":[{"count":11,"href":"https:\/\/cfif.org\/v\/freedom_line_blog\/wp-json\/wp\/v2\/posts\/21363\/revisions"}],"predecessor-version":[{"id":21374,"href":"https:\/\/cfif.org\/v\/freedom_line_blog\/wp-json\/wp\/v2\/posts\/21363\/revisions\/21374"}],"wp:attachment":[{"href":"https:\/\/cfif.org\/v\/freedom_line_blog\/wp-json\/wp\/v2\/media?parent=21363"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cfif.org\/v\/freedom_line_blog\/wp-json\/wp\/v2\/categories?post=21363"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cfif.org\/v\/freedom_line_blog\/wp-json\/wp\/v2\/tags?post=21363"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}