Most of the criticisms of the House and Senate health insurance reform bills have centered around the proposed repeal of Medicaid expansion. The House version of H.R. 1628 proposed repeal on January 1, 2020. To placate moderates, the Senate version would delay repeal Medicaid expansion on January 1, 2024.

Without any significant legislative victories and a frustrated base, Senate Republican leadership and most rank-and-file members of the Republican conference need to take a good, long look in the mirror and ask themselves this question: "What are we doing here?"

Democrats have long railed against monopolistic practices in the market place. Indeed the bedrock of the early progressive movement was busting up monopolies and taking big businesses to court. Few political movements have done battle with well-established business interests as effectively as the early progressives.

The most vulnerable people in America are on the brink of losing their health insurance and messaging from the Left has been consistently silent about addressing the issue, other than somehow blaming it on Republicans. Iowa’s individual healthcare market is hanging in the balance of monumental collapse. The fact is that the so-called “Affordable Care Act” is anything but affordable and has attacked the insurance market by doubling premiums and no one on the Left seems to want to talk about it.

Reports continue to come in about the results of implementing ObamaCare. Recently, the Centers for Medicare and Medicaid Services (CMS) of the Department of Health and Human Services (HHS) released a report on the effectuated enrollment, or in other words selected a plan for the first two months of the year and paid their first month’s premium of ObamaCare. The results were admittedly rather surprising as they did not meet the expectations of where the program was supposed to be at this point.

The federal welfare apparatus has bloomed into disastrous menagerie of nearly one hundred programs. Many in Congress are seeking a solution to the welfare leviathan’s imminent collapse.

At the moment, California is considering the possibility of implementing a single-payer healthcare system. SB 562, the Healthy California Act, would essentially expand Medicare coverage so that it covered every person in the state of California. Having been approved by the Senate, the bill now goes to the state Assembly where it has a chance of passing. However, if it does pass, it would be a massive problem for the state as it would face significant increased state spending, higher taxes, and decreased quality of health care.