MANY REPUBLICAN lawmakers are saying they  will make the repeal of President Obama’s health care law their top  priority in the new Congress. And yesterday a lower-court federal judge  rejected a key part of the law. But what would Republicans repeal to?   They don’t have an answer.
Repeal for the sake of repeal. Knock down any and everything Obamaesque. Don't give any of his legislation a chance to succeed.  Yep.  Meet the new Repubes ... same as the old Repubes. 
While polls find Americans split on the  general question of repeal, few people want to actually kill major  individual reforms. A November Kaiser Family Foundation poll found that  by margins ranging from nearly 3 to 1 to more than 4 to 1, Americans do 
not want  to repeal such aspects as: tax credits for small businesses offering  health care to employees; closing the “doughnut hole’’ to help seniors  keep prescription medicine costs down;  help for low- and  moderate-income Americans to purchase coverage; and a ban on insurance  companies  denying coverage because of preexisting conditions. Also last  month, a McClatchy poll found that 68 percent of Americans want to keep  the ability to insure children until age 26, compared with only 29  percent of people who want that aspect repealed. The Republicans say  they want to kill health care reform because it costs too much, but the  old ways were costing us even more.
As  flawed as the law may be to critics on the left and  right, going  backward is not a reasonable  option. More caution against wholesale  repeal came in the form of a recentstudy  from Columbia University that  suggested that US overspending on health might be harming Americans.
 EXCELLENT point - not sure I have seen a major newspaper get that the law is considered flawed by BOTH the so-called "left" and the so-called "right."  And yes, much caution against wholesale repeal.
Analyzing  survival rates for men and women ages 45 and 65, Americans have  stunningly fallen behind other large, wealthy nations in life  expectancy. That is despite a rate of health care spending that has  grown nearly twice as fast as the spending in 12 comparison countries  since 1970.
By 2005, the  15-year survival rates of white women were not only lower than in all  comparison countries, but they were lower than the 1975 survival rates  for women in Switzerland, Sweden, the Netherlands, and Japan. “Many  people say health care is just fine and that things like the poor health  of African-Americans makes statistics look worse,’’ said study author  Peter Muennig, “but when you see how much worse it is for whites, too,  you have a problem you cannot run away from.’’
Muennig  said the study accounted for factors that many people often say explain  why we are behind such nations as the United Kingdom, Canada, Germany,  and France. Researchers accounted for population diversity, smoking,  obesity, traffic accidents, and homicide. Muennig was still left with  the conclusion that rising health care spending “is itself responsible’’  for the relative decline in survival rates in the United States.
 This is an extraordinary conclusion - that is probably correct. Holy shit fat man!
He  said there are three reasons why this might be true. One is that rising  costs mean more inadequately insured people. Another is that rising  health spending may be “choking off public funding on more important  life-saving programs’’ such as public transit, public safety programs,  and community recreation centers. A third is that our current system  encourages a level of unneeded, confusing procedures that lead to  complications for patients.
In  a phone interview, Muennig said, “We don’t really know for sure how  much the higher expenditures are driving higher mortality as obviously  it can happen in complex ways. But it is clear that other nations are  investing in things other than health care and their people are living  longer. Could it be that lower health care costs in other countries lead  to their governments being able to sell cheaper train and subway  tickets and provide more resources for people to get out and lead  healthier lives as a normal part of life? In the US, health care costs  could be a canary in a coal mine sort of thing.’’
If  health care costs are the canary, then Republicans should be persuaded  to think twice before squawking for repeal. The Republicans say  Obamacare kills jobs. But health care spending prior to health care  reform quite possibly was killing people.
 This is the most important article I've read on health care in the U.S. EVAH!
Derrick Z. Jackson can be reached at jackson@globe.com.