Will It Be This Week, What Republicans and Democrats Won’t Tell

Here it comes again. More hints (maybe even boasts) about the repeal of the Affordable Care Act and the replacement with the American Health Care Act. The spotlight remains on the House of Representatives where Republicans hold a firm majority so one might be excused not understanding what obstacles lies before an easy Republican victory. Here’s what a closer look reveals.

Republicans have campaigned against the “job killing”, “train wreck”, “big government” healthcare law known as Obamacare (the ACA). Being against things has become a Republican art form and while Republicans have advocated lustily for many things, they have not been for anything for which they would actually be responsible implementing and having to deal with the consequences. Times have changed.

The Affordable Care Act (Obamacare) is far from perfect legislation. In concept, Obamacare represents a noble step forward by sharing America’s wealth with those less fortunate, specifically providing health insurance to more Americans. (“Noble might be too literary a word since over two dozen other modern countries already provide all their residents healthcare at half the US per capita expenditure with better outcomes!!!). Never the less, Obamacare did represents a giant step forward for the US.

Healthcare is not free. So, Obamacare had to find ways to help Americans “buy” insurance coverage. A combination of mandatory enrollment (for those who game the system by not buying insurance when they are young and healthy), “exchanges” where Americans could buy basic insurance coverage even with pre-existing conditions, a complex system of subsidies the government could provide exchange members, and Medicaid expansion to catch the remainder.

So how would this program be paid for?

Democrats had to come up with a dog’s breakfast of taxes to cover the portion of insurance the new insurance holders could not afford. The individual mandate and these new taxes became the rallying cry for Republicans. Take away the taxes, the additional expense necessary to add coverage to 20+ million more Americans, the cost would flow straight to America’s credit card, the Federal Deficit.

Republicans stood tall, said they had a better plan, and said they would give Americans their freedom back. Hmmm.

Back to this week. Republicans have offered the American Health Care Act to replace Obamacare. Almost unbelievably, the Republicans have discovered that those previously without health insurance like Obamacare’s features (like pre-existing condition coverage, basic services coverage, children on parent’s policies until age 26, and for many, financial assistance to subsidize buying coverage). The American Health Care Act offers much less insurance protection while giving generous tax cuts to the wealthy (not the Americans needing coverage). Hmmm.

To make matters worse for Republicans, they recognize that if they offer the same benefits as Obamacare (and just rename it), there is still the problem of paying for the expanded coverage. Moderate Republicans and conservative budget hawk Republicans cannot agree upon cuts which would lower the AHCA cost nor can they agree upon how to fund an Obamacare look-alike. Hmmm.

Democrats have chosen to hold their fire until the House passes AHCA and fight it in the Senate. Most pundits do not see the current AHCA passing a Senate vote. Time will tell.

The bedrock issue that is not being discussed by either party is whether basic healthcare is a right or a privilege. (Apparently, this comparison does not poll well, republicans do not want to be associated with denying healthcare coverage to Americans. Republicans would prefer to say some Americans choose not to buy insurance or prefer to buy a stripped down policy, and that is their right. Hmmm.)

Astute GOP leaders must be thinking how they can minimize a loss on this issue. Republicans are simply on the wrong side of history. Too much of the modern world has already solved the healthcare problems, and it is unlikely Republicans will wish to boast, “Among third world countries, American offers the best healthcare coverage”.

The issues at hand are not Obamacare versus AHCA because Obamacare has some serious shortcomings and frankly does not insure all Americans. And, the AHCA covers less Americans with less coverage. That doesn’t make it either.

Democrats and Republicans appear content to remain silent on the real elephant in the room.

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Explore posts in the same categories: ACA, affordable care act, congress, Conservatives, Democratic Party, Donald Trump, GOP, health insurance companies, Healthcare, Politics, Republican Party, Uncategorized

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