This week's entry will be relatively short.
As I write this, the AHCA act has yet to be brought to a vote before the full House. And it doesn't have that great a chance of passing. Then, if it does, it still doesn't have a ghost of a chance in the Senate. What does this say about the GOP as a political party?
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For the past several years, the GOP has been stirring up its base, saying that the Affordable Care Act (A.K.A. "Obamacare") is bad for the American people and would be repealed on the first day that the GOP had control of government. So far, it has been a little over 2 months since the GOP got its wish, and they were unprepared to do what they promised.
The key features of Obamacare (I use the word as a compliment to the man) are:
- A mandated definition of what basic health care coverage is, so that people buying this care on exchanges could make "apples to apples" comparisons.
- A mandated participation in the health care market (with subsidies, if needed) to insure that both the poor are covered, and that the insurance pool is large enough to absorb the expenses of the old and infirm who were unable to get affordable insurance.
- A mandate that insurers accept people with pre-existing conditions and cover those conditions in their policies.
- An establishment of government sponsored (state or federal governments) health care exchanges, so that people could easily buy insurance from a marketplace.
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The problem with health care is that many things dovetail with each other. Take away mandatory participation in a health care market, and the insurance pools do not cover enough young and healthy people to absorb the expenses of the old and infirm. Isolate the old and infirm into assigned risk pools, and they will not be able to afford health care without subsidies. Take away coverage of pre-existing conditions, and the people who need coverage will not be able to get it. Take away the public exchanges and mandated definitions of "coverage", and the public will not be able to make informed choices. In short, one has to address many requirements in order to maximize coverage across as many people as possible in a nation's population.
The GOP attacks the first two elements in the above list in all their proposals to repeal the ACA. They do not care that less people will be covered by insurance. They do not care that insurance will become unaffordable to the old and infirm. They only care about restoring a dysfunctional prior status quo. The GOP has had several years to design a better health care plan than the ACA, and yet had not done so. Instead they kept making noises about the free market being better than the ACA's "solution" - even when the other major industrialized nations have shown that "socialized medicine" has resulted in more available health care at a lower price to society. In fact, one staunch GOP loyalist made the claim that if Stephen Hawking had to use Britain's National Health Service (NHS), that Hawking would be dead today. Well, Hawking uses the NHS and is still alive as I write this.
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The GOP is now in charge of the Executive branch of government, as well as both legislative branches of government. And the three stooges in the above photo have yet do produce a health care reform that would be better than what we now have. It should be the duty of any opposition party, that when it comes to power, that it has well thought out policies and actions ready to go. This was not the case when the GOP gained power this year.
I don't need to say much about Trump, except that he is a malignant narcissistic sociopath who has no loyalty to anyone but himself, who has no taste, and who has no empathy with other people. In short, he is a social cancer that can cause damage when left unchecked. Paul Ryan is an idealog who can be very dangerous as he gets more power, as he does not believe that the fortunate in society have any duty to those less well off. And Mitch McConnell may not be an ideolog, as he has no ethics to guide him except a loyalty to his party.
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The public is enraged - and that includes many in the "Red States" who are seeing how the party they voted into power is about to betray them. The GOP had no Obamacare replacement, so they slapped something together and called it reform. The public knows better, as they can see how they will lose their ACA benefits when what they derisevely called "Obamacare" is repealed. They see that giving away park lands in places like Montana will hurt their local economy. They see that polluting the water with mining waste will take away their clean drinking water. In short, they are willing to the Democrats if the Democrats have leaders who will address the needs of the people in "Fly Over Territory".
Luckily, we're seeing the Democrats get energized, as they are getting ready for the 2018 elections. But do they have enough of the right people in place for the future? I doubt it. Their leadership is getting long in the tooth, and they don't have enough young leaders who can energize the public. The one person who can lead them, Bernie Sanders, is an older man who has captured the imagination of youth. He is the same man, when in a forum of Trump supporters received the ultimate compliment from a person in mining country. This compliment took the form of being told that Sanders, from the Northeast, is doing more for people in Coal Country than Mitch McConnell next door.
My question is: Will the Democrats be ready in time to topple "Larry" and "Curly" in 2018, and take care of "Moe" in 2020?
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PS: After I wrote this, the GOP Bill went down in flames. As expected, Trump had to find someone else to blame the failure on, and he blamed the Democrats for not working with him. Hmmmm. The GOP refused to help when Obamacare was passed 7 years ago. So why should the Democrats respond any differently. Trump claims that Obamacare will implode, and it may yet in some states. But if it fails in 2018, it will be an election year, and I doubt that Trump will be able to stop the upcoming disaster that an honest attempt to repair what was in place could have prevented.
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