A Few (Better) Ideas Of Their Own

From Investors Business Daily

Reform: Rep. Alan Grayson, D-Fla., made headlines this week with two claims, both wild and neither true: Republicans' health care plan consists of urging the sick to "die quickly," and the GOP has no proposals of its own.

The first charge is so juvenile that it doesn't even deserve a response. But the second — "the Republicans' health care plan was a blank piece of paper" — requires a response.

Republicans do have alternatives to the legislative mess that Democrats are pushing, and they've been offering them for years. The left, however, has bitterly resisted these ideas — not because the policies won't work, but because they would, and Democrats apparently have no interest in improvement.

They prefer a system in decline so that their push for government health care can look to many like a practical solution. The Republican ideas that have been either hobbled or outright blocked by the Democrats include:

• Health savings accounts/medical savings accounts: Americans who hold these tax-free accounts, up to $5,950 for a family, use them to pay for basic medical services.In 1996, the Republican Congress passed a medical savings account demonstration program that, in deference to Sen. Ted Kennedy's opposition to MSAs, severely restricted the number of participants. Kennedy tried to kill the MSA provision, but settled on a compromise — a limit of 750,000 accounts.

He was willing to allow a few Americans to have the accounts because he needed the Health Insurance Portability and Accountability Act, which the MSAs were a part of, to pass. In the end, Kennedy won. He got the framework of health care rules that were part of the law, and, due to the bill's heavy regulations, only about 75,000 MSAs were ever sold.

In 2003, the MSA program was replaced by health savings accounts legislation, and roughly 7 million Americans now have them. But Democrats including Rep. Pete Stark of California, who called the accounts "weapons of mass destruction," tried to destroy HSAs through excessive mandates in last year's Taxpayer Assistance and Simplification Act. Fortunately, that bill never became law.

In recent years, Republicans have tried to advance policies that would increase the number of Americans who have HSAs. But Democrats have sat on the proposals. They don't like HSAs because they put patients in charge of their own medical care and push government further away from the process.

• Insurance competition: Republicans have also been trying for years to change the law that lets state governments bar insurance companies from selling individual health plans across state lines. If the practice were ever allowed, consumers would have more providers and plans to choose from. The competition would, as competition always does, drive down prices as well.

In 2007, GOP Sen. Jim DeMint of South Carolina offered an amendment that would have permitted Americans to shop for individual plans across state lines. But the Democratic majority in the Senate rejected it.

• Tort reform: The Pacific Research Institute estimates that the practice of defensive medicine wastes more than $200 billion a year. With trial lawyers and plaintiffs seeking fortunes through medical malpractice suits, doctors routinely overtreat patients to cover themselves in the event they are sued. They also pay higher malpractice insurance premiums because insurers often have to pay dearly in malpractice cases. These conditions increase costs.

For years Republicans have tried to bring down health care expenses though legislation that would place reasonable limits on the amount of damages a jury can award. But they have had little success at the federal level going against the party that's inextricably linked to the trial bar and its generous campaign contributions.

• Current legislation: Just this year, the GOP has proposed more than 30 health care bills in just the House. But those bills, which cover issues from costs to portability, have gone nowhere in Democratically controlled Washington. "The White House, in spite of saying they look forward to meeting with anybody who wants to solve these challenges, has rebuffed us at every turn," GOP Rep. Tom Price of Georgia told the Examiner newspapers.

In response to calls that he apologize for his inflammatory comments, Rep. Grayson sarcastically said he would "apologize to the dead and their families that we haven't voted sooner to end this holocaust in America."

Give the first-term congressman credit. Having distracted the media with his sideshow, they don't have time to report on the Republicans' efforts to improve health care in America through consumer-driven policies.