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In the Absence of Conservative Solutions to Health Care

3:10 PM, Mar 1, 2013 • By FRED BAUER
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The second factor that is critical for health care and influential for governors debating whether to expand Medicaid is the hollowing out of the middle and working classes over the past decade-plus.  As more Americans fall behind, the public demand for more government subsidies grows—as does the cost of these subsidies.  According to the U.S. Census, the number of Medicaid beneficiaries exploded from about 43 million in 2000 to about 62 million in 2009—over a 44 percent increase.  From an electoral standpoint (to say nothing of an ethical one), declaring that low-income Americans should do without health-care is far from a sufficient answer.  By offering a set of policies that expand opportunity for all Americans and provide a popular prosperity, Republicans could lessen the need for government services such as Medicaid and thereby help stave off a government takeover of health care and much else of the economy.

If a political movement hopes to stand solely on the backs of rigid ideologues, it is doomed to failure.  And the Founders did not design a government in hopes of it being solely administered by perfectly virtuous men.  Instead, they created this government for real men.  It is not enough to denounce apostasy on Obamacare or any other issues.  Instead, conservatives can work to put forward policies that will make health care more affordable and expand the pool of those able to pay for their own health care. In doing so, they can lessen the need for a more expansive federal bureaucracy to administer health care while also offering politicians a market-oriented alternative that they can rally around in good faith.

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