So the Republicans have released their Obamacare sort-of-repeal plan. “Trumpcare” includes lots of goodies for people with more income to put in HSAs or more taxes to write off, and make sure lottery winners are shut out of Medicaid. (Consumerist has some thoughts) It’s running into lots of opposition, not only from Democrats but Republicans who think modifying Obamacare is not enough — wipe it from reality or nothing! Plus those who know their constituents like having health care and don’t want to face the blowback from taking it away, and the bill does that: Jonathan Chait points out the tax credits to help buy insurance go down for the poor and rise for the rich (more here). And despite all the talk of cutting premiums, AARP says that for older adults they’ll go up under Trumpcare And it’s a bad deal for women too as it drops requirements plans cover maternity and prenatal care, among other things (showing again that right-to-life is more about forcing women to bear children than taking care of fetuses).
As this poses a serious challenge to passing “Trumpcare” people are speculating why Sen. Paul Ryan is backing such a long-shot bill — is this the best he can get? Does he overestimate his chances? Does he figure Republicans will be better off if repeal fails? Is it a case of “be careful what you wish for” as various Republicans realize the risk from taking away people’s healthcare. Rick Perlstein points out that conservatives believe cutting off government-supplied healthcare is a moral act. Sen. Jason Chaffetz seems to express the same view when explaining that the bill will require poor people to be responsible and buy healthcare instead of an iPhone. Because poor people are immoral unless they suffer. Roy Edroso suggests, similarly, that it’s catering to the angry, PO’d Trump voters who want those damn moochers to suffer! Jonathan Chait (at the link above) thinks Republicans backed themselves into a corner by their own tactics and rhetoric .
President Shit-Gibbon has informed America that “this will be a plan where you can choose your doctor,” but nothing I’ve heard from either side indicates this will happen. All health-care plans have in-network and out-of-network doctors — about the only people who gain more choice will be the rich people who can use their HSA to pay for any doctor they want.
In further loonie news, Trump HHS Secretary Tim Price says Medicaid takes away people’s health care … somehow. Ryan explains that it doesn’t matter that millions of people lose care, what matters is that it lowers costs! No explanation how it will do that, but it’s an axiom for free marketeers that allowing people to use “too much” health care is why health care is so high (like Rep. Bill Huizinga, who’s proud that he didn’t take his kid to the E/R until he was absolutely, positively sure the boy’s arm was broken).
So it’s kind of fascinating to watch as a train wreck … except that if the train gets to the station, millions of people lose health care or have to settle for inadequate care.I can’t really relax enough to enjoy it. Even the fact lots of Repubs think this bill is worth backing (and some object because it’s not vicious enough) is chilling.
But on the plus side, there’ll some satisfaction to watching the Shit-Gibbon freak out again when Trumpcare does not automatically become law.