The Ezra Klein Show

According to the Congressional Budget Office, the Senate GOP’s health care bill — officially known as the Better Care Reconciliation Act — will lead to 22 million fewer people with health insurance and plans with such high deductibles that low-income people won’t be able to afford them. On the bright side? Massive tax cuts for the rich. It’s not a widely popular vision — the bill is struggling to attract Republican support, and is polling between 12 and 17 percent. But it does have defenders. Chief among them is Avik Roy, a past guest on this podcast and the co-founder of the Foundation for Research on Equal Opportunity. The bill’s passage, Roy said, would be "the greatest policy achievement by a GOP Congress in my lifetime.” I am, to say the least, not a fan of this legislation. So I asked Roy to return to the podcast to discuss it. I wanted to hear the best possible case for the bill. In this conversation, we discuss the Better Care Reconciliation Act, but also the broader health care philosophies that frac