A So-Called Healthcare Bill Only Mitch McConnell Could Love
I’ve been arguing the last few days that Senate Trumpcare is literally the worst bill since the Poor Laws-which wasn’t even an American bill. But that’s the classic historical analogy of a bill sending back social policy 50 years.
Senate Trumpcare does more than just return us to the pre 2009 pre Obamacare status quo, it returns us to the pre 1965 pre Medicaid Pre LBJ status quo. It really is an awful, terrible, bad, very bad, no good so-called healthcare bill.
It’s truly the worst of all worlds. The GOP has sold the case for repeal as the need to lower premiums and deductibles. To be sure, they have always looked at premiums and deductibles under ACA dishonestly, as they compare them to pre 2009-which ignores that by definition they would have risen with or without ACA. The real debate would be how premiums did under Obamacare as opposed to the counterfactual where there was no Obamacare?
And Trumpcare actually leads to very sharp rises in both premiums and deductibles.
“Under Obamacare, insurers cover a large portion of out-of-pocket costs for individuals making up to 250 percent of the federal poverty level — about $30,000 for an individual and $61,000 for a family of four. In exchange, the federal government reimburses them for the difference. The theory is that customers in this income range would otherwise struggle to benefit from a silver plan with deductibles of $7,500.”
“But the House and Senate bills each eliminate these cost-sharing provisions — and the effects would be dramatic, according to a Kaiser Family Foundation analysis. If you’re an individual making around $18,000 a year, your effective deductible would be about $255 under Obamacare. Under the Senate bill, though, that number would jump to over $6,000 — almost 24 times higher.”
The deductible will rise from $255 to over $6,000.
Who could possible love such a vile. despicable bill? Paul Krugman draws the profile:
“Who benefits? It’s all about the tax cuts, almost half of which will go to people with incomes over $1 million, the great bulk to people with incomes over 200K.”
“So, is this bill good for you? Yes, if you meet the following criteria:
1.Your income is more than $200,000 a year
2.You have a job that comes with good health insurance
3.You can’t imagine any circumstances under which you lose that job or income
4.You don’t have any family members or friends who don’t meet those criteria
5.You have zero empathy for anyone else
Mitch McConnell certainly meets requirement 5. Basically rich people who have no empathy and sociopathic partisan hacks who care about nothing but the GOP getting the ‘win.’
Again Mitch McConnell. Truly only a healthcare bill Mitch McConnell could love. There are many more who don’t love it at all. Quite the opposite:
“The Senate GOP’s health care bill is a strange document. It doesn’t fix what conservatives dislike most about Obamacare. But it takes what everyone else hates about Obamacare and makes it much, much worse.”
“The plan keeps Obamacare’s basic structure intact. The tax credits remain tied to income. Many of the insurance regulations remain in place. Medicaid is, in theory, gutted down the road, but the cuts don’t even begin until 2021 — raising the fear for conservatives that they’ll never happen at all. Even the cost-sharing reductions to insurers — which Republicans bemoaned as an illegal “bailout” — are restored.”
“So Obamacare — the government program that makes it the state’s responsibility to cover people with health insurance — mostly survives. If you are a conservative angry that the federal government has created a new health care entitlement, this bill doesn’t solve your problem.”
“But under the Senate bill, Obamacare’s ability to actually cover people with health insurance is sharply diminished. Because the plan shifts hundreds of billions of dollars in insurance subsidies to tax cuts for the wealthy, there’s not enough money in it to cover nearly as many people, with nearly as good insurance, as there is now.”
But-rich people get a huge tax cut and Republican hacks like Mitch McConnell and Hugh Hewitt get to brag they beat Obama. So clearly that makes it all worth it.
P.S. So the Gravis poll against Peter King NY2 and it has good news-almost too good to believe.
In my March poll I trailed King by 11 and thought that was very good news. Now Gravis has me up by 10? Still, the moment of truth is next week when Gravis writes up the press release.
I can use any help I can get at this point-volunteers or supporters who live in NY 2. Donations whatever your zip code. These days we can’t just support a local Dem we need a Dem Congress. Which is why I’ve donated few hundred to Jon Ossoff.
Please donate to help me in my part of the effort to fight for a Dem House-$5 or $10 can do so much.
If you feel that you can’t I, of course, understand-who is rich these days? But please do me one favor: ask yourself privately, mentally, if you really can’t spare $5 dollars. If you can honestly say you can’t, no worries.
We can have a Dem Congress, we must have a Dem Cogress, and we will.
Thank you. We must have a Dem House. And so, we will.