The failure of the Republicans to repeal and replace Obamacare was a disappointment but not a surprise. Sensing there would be no consensus on this I sent a letter to Paul Ryan’s office a couple of weeks ago outlining what I thought a reasonable, comprehensive, patient-oriented, market based health plan would look like. I based it on 35 years of Emergency Medicine practice and practice management in both for-profit and County facilities. I’m fairly certain it never got read.
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