
This is the second in a series of three posts. In my last post I posed a dilemma: President Trump has argued repeatedly for “coverage for all.” The CBO score showing that the AHCA would result in a loss of coverage for 24 million Americans was devastating for its political prospects. Yet Obamacare, despite leaving tens of millions of Americans uninsured, is universally viewed by Republicans as fiscally unsustainable over the long term. I’ve proposed three approaches to getting out of this box:
- Universal catastrophic coverage (Part 1)
- Universal safety net (Part 2)
- Responsible federalism (Part 3)
The Case for a Universal Safety Net
A universal safety net offers the possibility of a bipartisan reform that is politically feasible at an affordable cost. Again, there is more than one way to achieve this, but I will provide two examples.

