“What if conservatives succeeded in repealing Obamacare? “Republicans’ Obamacare repeal bill would leave 17 million more people uninsured next year, and 32 million more in 2026, the Congressional Budget Office said in an estimate Wednesday. It also said premiums would double by 2026. …By 2026, three quarters of the population would live in areas with no insurers participating in the non-group market, due to upward pressure on premiums and downward pressure on enrollment, the report found.”
I wrote a Huffington Post piece in July 2017 during President Trump’s first term that could predict what we might look forward to with Republicans, and Donald Trump’s healthcare policy in his second go-around as president.
The result for working Americans of Republicans’ repeated attempts to repeal Obama that I wrote about then is shown in the above graph. It compares the soaring death rates of 45-54 white American males with other developed countries (red USW line). Obamacare is the only American universal healthcare plan that covers workers with pre-existing conditions if no employer healthcare, and yet Republicans can be expected to again attempt to replace it with a “concept” in Trump’s words.
Americans had just avoided another health care disaster in voting down the Senate’s ‘skinny’ Obamacare Repeal and Replace bill in 2017. Even though maintaining most of the taxes to pay for the Medicaid portion, it would have made insurance coverage prohibitively expensive for those older and sicker users with the removal of the private and employer mandate requirements that would cause younger and healthier people to leave the insurance markets.
This is just the latest precipice that’s been avoided. Americans already have the worst health outcomes in the developed world, precisely because America is the only developed country—in fact, even of undeveloped countries—that doesn’t have universal coverage.
The result is one of the highest birth death rates, as well as diabetes, heart and other infectious disease rates—which are diseases usually associated with poorer, undeveloped countries.
The last time Republicans swept the presidential election in 2017, it was the very white, male Tea Party reacting to our first Black President. But they didn’t replace it with something new. They went back to their base of wealthy Oligarchs formed during the Reagan era, still fighting labor unions and resisting more social programs to help the less fortunate, as Trump’s MAGA nation has promised to do.
Trump’s electorate has been good at wanting to tear down the old institutions, but not good at replacing them with a newer, better system. And if Elon Musk becomes the efficiency czar in Trump’s new administration, and he continues to brag he can cut $2 trillion in waste from the federal budget, we know social programs and maybe much more will suffer in the name of reducing the national debt.
There is another, better way to replace what hasn’t worked for working Americans; but that must be based on science and new technologies that can come from our educated elite (rather than our political and wealthy elite).
If Republicans want to be part of that future, they can’t follow a con artist who doesn’t believe in the future, only the past.
Harlan Green © 2024
Follow Harlan Green on Twitter: https://twitter.com/HarlanGreen
