Defensive medicine + tort costs only around $100B. Of course the savings wouldn't be absolutely enormous, but its an easy cost to reduce right off the bat. Patient noncompliance costs around $200B a year. That's over $300B of pure waste that can be chopped down right from the get go. Mind you If we were to reduce even have of these costs, that would lead more savings in health care costs than every doctor in America working for free for a year.
Please tell me exactly which Republicans were pushing limits on flexible spending accounts, throwing another 30 million people on Medicaid, hundreds of billions of dollars in new taxes, fixing premium costs to a % of income (rent control and price setting has NEVER worked in any sector, and it damn sure won't work in healthcare) and further restricting medical underwriting (the fact that I will be paying only 1/3rd in what someone who is old, obese, and has diabetes despite using less then 1/20th the amount of healthcare they use is complete bull****, through and through)?
Yeah, Republicans had the idea of an individual mandate as well as health care exchanges to shop for insurance. By itself, these may have been good ideas. But when you combine an individual mandate with restricting underwriting? That is a radical shifting of costs onto the relatively healthy for the benefit of the extremely unhealthy. When you combine these two policies together, it turns the individual mandate into a completely different animal. So saying it was a "Republican idea" is downright dishonest when you know for a fact that no Republican would support the healthcare law in its present form. Some of healthcare is about life choices, and I am staunchly against any program that attempts to punish those who make all the right choices for the benefit of those who do not.