Full repeal may not be necessary. Here are five ideas:
Break the federal exchanges. Because of a “drafting error” the law does not give federal exchanges power to provide the same insurance subsidies given to state-run exchanges. Though Obama’s IRS has issued rules to correct for this problem, Romney’s IRS could reverse them.
Starve the federal exchanges. With Romney as president, House Republicans would merely have to block any language that explicitly funds federal exchanges.
Withdraw rules. Rules in progress can be thrown out or revised by a new administration, including the rule defining the essential health benefit package that everyone must have.
Be very “flexible.” The HHS secretary wields overwhelming discretionary authority in the new law and may grant states and employers more latitude (such as certifying state-based exchanges that do not meet the law’s requirements or allowing companies to forgo insurance updates consistent with the law’s demands).
Do nothing. Romney could halt the writing of new rules and prevent Medicare, Medicaid and the IRS from going forth with new programs and enforcement.
View entire commentary by J. Lester Feder in Politico.