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The underlying problems with Obamacare will persist — even if Republicans tweak the way its subsidies work, said Avik Roy, a healthcare policy expert and one of Obamacare’s most vocal critics.

In Roy’s view, Republican proposals to redirect financial assistance straight to policyholders instead of routing them directly to insurance companies would do little to drive costs down without broader reforms.

“Imagine if there was agricultural regulation such that you couldn’t buy a steak for less than $300,” Roy said. “And then you said, ‘Oh, we’re going to solve that problem by giving everybody more food stamps so they can afford a sirloin at the grocery store.’”

“Would that solve the problem? Actually addressing the core root of why a steak costs

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