Health Care: It’s Complicated

A month ago, our president, in his infinite wisdom, said “Nobody knew health care could be so complicated.” On the contrary, Donald—everybody knew. It seems it took 70 years for the star of the infamous Access Hollywood tapes to learn what the rest of us realize at a young age: the health care system in the United States is seriously messed up.

I realized this in grade school when one of my concussions cost my parents, who had relatively good health insurance, over a thousand dollars. Maybe being born into a family with a personal physician and unlimited funds shielded the president from this basic reality.  Of course, you could claim his touch with reality is tenuous at best; he did falsely claim he was a target of an unconstitutional wire “tapp” [sic].

Now, he has tried to fulfill his campaign promise of repealing and replacing the Affordable Care Act (ACA), something he said would be done on day one. Remember though, that day was spent lying about crowd sizes at his inauguration, so logically it took about 60 more.

Over these two months, the president, so proud of his historically mediocre Electoral College victory, saw an historic decline in approval in the polls—while his predecessor, and the ACA alongside him—surged to all-time highs. Meanwhile, Trump’s “repeal and replace” health care plan, dubbed the American Health Care Act, was dead on arrival.

The AHCA was considered by one conservative journalist and longtime supporter of Speaker Paul Ryan as “the worst rollout of any major piece of legislation in memory.”

This proposal would have cut taxes for the wealthy, reduced the number of Americans with coverage by 14 million by next year, and led to skyrocketing premiums almost across the board due to a smaller, older, sicker pool of those paying into the insurance markets.

Additionally, it would have disproportionately hurt those who voted for the candidate who has literally spent a quarter of his time in office at his golf course. Unsurprisingly, less than 20 percent of Americans supported this bill, and it died even faster than people without access to quality, affordable health care.

So, the bill, which one lawmaker proposed renaming the “Republican Pay More for Less Care Act”, died. People still have health insurance at a higher rate than ever before (which is still lower than virtually every comparable country, despite spending more on it per capita than any of them), so why should anyone worry anymore?

Well, the president, who is on track to spend more on travel in one year than President Obama did in all eight, has some alternative facts. Last week in a softball interview with Fox Business, Trump said “I think we’re doing very well on health care. It’s been very much misreported that we failed with health care. We haven’t failed, we’re negotiating and we continue to negotiate.”

Without getting too deep into political and parliamentary strategy or the tremendously, hugely complicated math behind this calculation, these negotiations between Mar-a-Lago and the House of Representatives have a 0 percent chance of producing anything that could pass the Senate.

Rumored plans include removing the ability for dependents to remain on their parents insurance until they are 26 and removing the protection of those with preexisting conditions. This amounts to removing the two most popular parts of a bill that only had 19 percent public approval in the first place—not a great negotiation strategy.

One could give the benefit of the doubt to someone who wrote a book entitled The Art of the Deal, but then again he hired a ghostwriter for it, so who knows whether he’s even read it himself.

This fight is not over, however, as the president, whose former campaign manager recently retroactively registered as a foreign agent, has the power to severely hinder many of the incredibly positive impacts the ACA has had on the insurance marketplace by taking away government subsidies from insurance companies. These insurance providers, in turn, would drop the plans supported by those subsidies, effectively stripping insurance from 7 million of the lowest income Americans.

Considering Republicans have control of Congress and the Presidency, and have claimed for the better half of a decade to have a replacement plan that would be cheaper and insure more people than the ACA, it’d be political suicide to do this. But logic is scarce in this administration, while cruelty seems to be abundant, so it’s not off the table.

The Affordable Care Act is not perfect and people still pay way too much for health care. This is largely due to seven years of Republicans successfully undermining the most promising portions of the plan for political purposes, but that’s history. To close with something that shouldn’t be a partisan issue, our government has a responsibility to protect our chance at life, liberty, and pursuit of happiness.

Even if uninsured people don’t literally die because they can’t afford the state of the art procedures or ridiculously expensive prescription pills, entire families lose a fair chance at happiness because half of this country lives paycheck to paycheck, and crippling debt caused by a health emergency can last a lifetime. This is inexcusable, and we as a country should be embarrassed.