Nel's New Day

May 4, 2017

Make America Suffer Again

The House passed its “We Don’t Care” bill this morning to take health insurance away from tens of millions of people in the United States. The 217-213 had 20 GOP “no” votes from those smart enough to know how furious their constituents would be with a “yes” vote. Only one of them belonged to the scorched-earth Freedom Caucus. Voters didn’t even have an analysis from the Congressional Budget Office to help them make a decision.

In their race to the bottom, the GOP also ignored the impact the 100+ million people who get insurance from employers. Because the bill allows large employers to offer the same benefits as state requirements, companies can skimp on benefit standards in states that get waivers to opt out of current ACA regulations. The same employers can also bypass any limits on out-of-pocket expenses for expensive illnesses and impose lifetime limits of cost. Premiums may cost less, as Republicans promised, people would have little health care covered. Congressional members and staff are lucky: the new bill exempts them from losing quality insurance.

In the time of DDT and the GOP, governance means voting for a bill that has a life-or-death impact with no information on costs and other affects. The legislators who voted for it hadn’t even read it and don’t want to know the outcome of their legislation that affects one-sixth of the U.S. economy. Republicans leaders didn’t let anyone read the legislation in advance. All people know about the bill is that gives massive tax breaks to the wealthiest in the nation and guts protections for everyone else. Now that it’s passed, people know what’s in the bill, and it looks even worse than previously believed.

Trumpcare winners:

  • The rich and corporations getting $600 billion in tax breaks.
  • Millionaires getting a $50,000 tax break each year for a total of $275 billion to the richest two percent.
  • The 400 richest families each getting an average $7 million each year.
  • Insurance companies getting $145 billion in tax breaks over ten years.
  • Drug companies rewarded with $25 million in tax breaks over ten years.
  • The richest two percent getting a $117 billion tax cut.

Trumpcare losers are the 24+ million low-income sometimes DDT supporters who lose health care (24 million) or people who will pay up to $13,000 more for premiums. No one will have protection from huge increases in drug costs, and the loss of $117 billion in revenue shortens Medicare’s ability to pay full benefits by at least three years.

Eight years ago, Rep. Paul Ryan (R-WI) said this about the Affordable Care Act on MSNBC:

“I don’t think we should pass bills that we haven’t read, that we don’t know what they cost.”

At the same time, Mike Pence ridiculed the Democrats:

“Don’t blame us, we didn’t read the bill we voted for.”

In 2009, House Republicans had a fit about the possibility of voting for the ACA without a CBO score, and Ryan demanded that the CBO analysis be expedited before a vote. In fact, Congress and President Obama and spent 14 months writing that bill in 2009 and 2010 with dozens of hearings, committee markups, and consultation with the health care system that won support from hospitals and doctors while waiting for multiple CBO scores. No one in the health care system wants Trumpcare, and Republicans’ only rationale for voting in favor of the bill is that they promised to do it. Oh yes, and it gives massive cuts to the wealthy.

Perhaps most prescient is DDT’s 2014 tweet:

“It’s Thursday. How many people have lost their healthcare today?”

Today is Thursday, and we don’t know the affect of the House vote, but it’s sure to be tens of millions of people if the House bill passes the Senate.

According to DDT’s statements last Sunday, he hasn’t read the revised plan to satisfy the scorched-earth Republicans. On Face the Nation, DDT told John Dickerson that the bill keeps pre-existing conditions and “I mandate it.” Pressed for clarification, DDT added, “We actually have a clause that guarantees [protections to those with pre-existing conditions].” [No, “we” don’t.] The GOP bill clears the way for states to remove this benefit. DDT said that “Obamacare” “doesn’t cover pre-existing conditions.” [Yes, it does.] Even VP Mike Pence said that Republican policymakers are “keeping our promises to protect people who have pre-existing conditions.” Of course, he believed that Michael Flynn didn’t have anything to do with the Russians.

According to a Harvard study about the health care bill, Trumpcare would “effectively end enrollment in the insurance markets for families that make less than $75,000 a year.” In 2015, that was over 70 percent of the people in the United States.

Another population that would suffer from Trumpcare are students needing special education help. Medicaid provides schools districts with such services as physical therapists and feeding tubes as well as preventative care like vision and hearing screenings. Republicans voting to do away with these services may not know about this issue because the House did not allow any public testimony before the vote.

If DDT and Congress are successful in repealing the ACA, discrimination can be the law of the land. One section is the ACA stops federal funds from going to anyone or any group discriminating on the basis of race, skin color, national origin, sex, age, or disability. That includes pregnancy, sex stereotyping, gender identity; religious-connected providers could deny contraception, sterilization, in vitro fertilization, or anything else against “religious” beliefs. People could be turned away from emergency rooms for any reason. At this time, 20 percent of the hospitals in the nation have an affiliation with religion—up 50 percent since 2010, and many times small communities have only these hospitals. At the same time, the federal and state governments are rapidly closing non-religious clinics such as those operated by Planned Parenthood.

In addition to ethical reasons to keep and repair the ACA, its loss will result in the loss of 1.8 billion jobs.

Oregon’s only GOP representative was a leader in destroying the ACA. Greg Walden is now proud of his part in doing away with the small hospitals in his rural district and losing insurance for the largest number of people in his state. DDT acknowledged the part that Ryan and Walden played in taking insurance from Walden’s constituent when he said, “This is the group.” Walden’s district added more Medicaid recipients than any other GOP district and more than all except three Democrat-held districts. That makes it fourth out of 435 districts in helping people under the ACA.  One of Walden’s colleagues pointed out that 640,000 people with pre-existing conditions could lose their insurance, but Walden claimed, “We are protecting people with pre-existing conditions. Those conditions continue to be protected.” Either he has not read the bill, or he lies. People have said he’s a nice man. So sad.

The GOP is backing a losing horse with its argument for less government. A recent NBC News/Wall Street Journal poll finds that a majority of people, 57 percent, thinks that government should do more—not less—to help solve the nation’s problems. That’s an increase of 14 percent in just two years and almost double the percentage since 1996. In that time the number of people who think that the government should do less has dropped by over one-third. A study from Baylor University has also found that more government enhances human happiness.

Last month the New York Times’ hired climate denier Bret Stephens. Now the NYT equates Ryan’s lie (“under no circumstance can people be denied coverage because of a pre-existing condition”) and Pelosi’s statement (“up to 17 million children … who have pre-existing conditions can no longer be denied coverage by insurers” thanks to the ACA) as both “misleading.” It may be possible that Rupert Murdoch bought the newspaper while I wasn’t paying attention.

Speaker of the House Paul Ryan (R-WI) (3rd L)  after signing legislation to repeal the Affordable Care Act, also known as Obamacare, and to cut off federal funding of Planned Parenthood at the U.S. Capitol January 7, 2016 in Washington, DC.

The bill that passed today and moved on to the Senate was even more draconian that the earlier bill, and that one got only 17 percent approval. Yet Republicans are celebrating their success at taking insurance away from 24 million people and allocating much higher charges for people with pre-existing conditions with cases of Bud Light rolled into the Capitol. House Speaker Paul Ryan (R-WI) and the other GOP leaders are even giddier than they were over a repeal in January 2016. Following their beer-bust in the Capitol, Republicans took buses for more celebration in the White House Rose Garden, historically a place where bills are signed into law. Never before have House Republicans reveled in passing a bill that may not survive the Senate. And certainly not a bill designed to create misery for millions of people in the United States.

It’s a new time: Make America Suffer Again.

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