When I began the Trump Chronicles last November I hoped to chronicle his Presidency. Frankly there’s so much drama it’s hard to keep up. I never thought I’d be able to keep up with the President’s tweets for two reasons: I don’t have a twitter account, and unlike the President I have a full time job.
But I was driving home from work this afternoon listening to the news and knew I needed to blog on the state of legislation on health care. Since its inception in 2010 the Republican Party has made repeal of the Affordable Care Act a priority. At every opportunity they’ve attempted to sabotage it. Despite their best efforts, the ACA continues to enjoy popularity.
And despite the will of the American people, the GOP continue to insist on a mandate to repeal and replace.
In May the House of Representatives passed HR 1628 and frankly we found much of it horrifying. Even the President called it mean and suggested the final plan as generous, kind, with heart.
Previous to the Affordable Care Act, insurance companies could pick and choose who they cover. They could deny coverage for someone with a pre-existing condition. And to be fair, that makes sense. If you’re an insurance company you don’t want someone to live without health coverage in their young and healthy years, only to demand coverage after being diagnosed with cancer, diabetes, or dementia. But it also meant that if you had something as simple as sleep apnea, and could not get insurance from your employer, you were out of luck.
The Affordable Care Act recognized this and mandated coverage even if you’re young and healthy. It’s much the same as requiring you to have car insurance even if you’re a safe driver. But this health care mandate led to some of the largest whining among conservatives. Under the banner of “no one can tell me what to do with my money,” they screeched that this diminished the freedom of those who were willing to take their chances. But when Massachusetts Governor Mitt Romney authored a health plan with an individual mandate in 2006, he characterized it as a personal responsibility. He went on to say that it was “immoral” for those who can afford health insurance not to buy it.
And yet the GOP demanded the removal of the individual mandate which left them with a problem: how will they pay for this? Well, they went back to their playbook to reward the wealthy and punish the poor. More later.