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Republicans Must Seize the Healthcare Debate to Win Voter Trust

For too long, Republicans have let Democrats own the healthcare narrative while voters suffer with skyrocketing costs and shrinking choices. Steve Forbes lays out a commonsense, patriotic playbook showing how conservatives can turn healthcare from a weakness into a winning issue by offering real solutions instead of empty slogans.

The answer is unapologetically pro-market: open competition, expand Health Savings Accounts, and give patients control over their healthcare dollars so innovation and affordability can flourish. Forbes argues that opening proven federal plans to everyone and enforcing price transparency will immediately empower consumers and force prices down.

Medicaid’s current expansion has become a political and moral disaster, trapping people in dependence while starving care for the needy, and conservatives must demand accountability and reform. Forbes recommends work requirements, smarter block grants, and returning control to states so programs serve their intended beneficiaries rather than bloated bureaucracies.

On prescription drugs, Republicans should stop ceding ground to Democrats and go on offense: eliminate middlemen abuses, allow direct sales, protect domestic drug manufacturing, and speed FDA approvals to lower costs. Forbes highlights that bold, targeted reforms—especially curbing Pharmacy Benefit Manager kickbacks—win broad popular support and dismantle Democratic talking points.

Politically, the pathway is simple: talk about pocketbooks, not ideology. Make the argument that freedom, choice, and competition are the only sustainable way to bring down premiums and save taxpayers trillions, and do it with plain language that resonates with working Americans. Forbes puts the messaging squarely on economic relief and common-sense reforms that voters understand and want.

Congressional Republicans must now act like champions of the people, passing real reforms such as opening FEHB, expanding HRAs, protecting HSAs, and enacting transparency and anti-fraud measures that cut out the corporate middlemen. These steps aren’t radical—they’re practical, pro-family, and pro-worker measures that restore the doctor-patient relationship and return dignity to healthcare.

If Republicans instead cling to feints and fear of being painted “against healthcare,” they will pay at the ballot box. The moment calls for courage, clarity, and conservative conviction: build markets, demand accountability, and deliver lower costs and better care for American families. Do that, and the GOP won’t just survive the midterms—it will win them.

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