One of the campaign promises that Republicans ran on was repealing health care reform, i.e. the Affordable Care Act. The full repeal of the ACA is unlikely since:
(a) any legislation that is introduced and passed in the House by a Republican majority would not pass the Senate and even if it did would be vetoed by the President.
(b) many Republicans were supported financially during the campaign and continue to be supported by special interest groups such as insurers and pharmaceutical companies who stand to benefit from the ACA since there will be increased numbers of individuals insured under ACA
Likely actions to affect the bill:
- repeal of individual sections of bill that are unpopular with Republicans, moderate Democrats, independents
- attempts to block funding for new programs and provisions of the ACA
- attempts to delay implementation of parts of ACA
Other actions that may occur with the new House are:
- attempt to pass comprehensive tort reform legislation (as promised during campaigning)
- subpoenaing Don Berwick of CMS and Kathleen Sebelius, HHS Secretary to testify about health care reform process
- implementing budget cuts to primary care research such as Title VII, NIH and AHRQ funding (Republicans have pledged to cut $100 billion from discretionary spending)
Many of my projections are informed by discussion in my Community Organizing Health Policy class at HSPH; my discussion with Bob Blendon, a health policy analyst; and a memo to members of the Academic Family Medicine Advocacy Committee (AFMAC).
What do other people think? Thoughts or predictions?