The Healthcare Fixes Unfixed, Divide and Conquer on Display

Sofia    There’s no national healthcare in Bulgaria from what I learned in recent discussions, so this is a country where Americans can come to die and feel at home.  Think about that for a minute.  Living costs are relatively low.  Healthcare costs are relatively high.  Is this the world we want?  Perhaps so, because we seem headed for that situation, like it or not, ready or not.

Reading the morning papers on-line and getting past the Trump twitter tirades, the endless Russian hacking stories, and the usual grist for the mill, it was hard to miss a story in the Times that reminded us that no matter what small joy we may have harbored at the failure of the Republican Congress, the Trump project of starving the Affordable Care Act to death is making good solid progress around the land.  Worse for America, but probably great news in the West Wing of the White House is that it is yielding an even more politically beneficial result for the Trumpsters and the right wingnuts:  it’s dividing America even more.

I’ve ranted about the problems of lower waged workers suffering from the Obamacare loopholes and compromises that called them “covered” by the minimum standards of a healthcare plan if they were working for 50+ employee companies when their employers were allowed to say they were offering qualified plans with such absurd $4000 to $6000 deductibles and 9% of monthly income payments that literally NO ONE in many lower waged companies with hundreds of workers were electing coverage since it would suck up a huge portion of their checks when they were making $10 to $15 per hour.  More cynically, they were also barred because they were ostensibly covered by their employers from receiving any of the subsidies or shared cost assistance from the Obamacare marketplaces, so unless their states had expanded Medicaid, they were caught in the gap.   Nothing was sorted out in these years perhaps due to gridlock in Congress and perhaps because who really cares about low wage workers anyway?

Now in the Trump attack on the lower middle class, his starving of Affordable Care is leading, as predicted to soaring price and deductible increases on sketchy plans, almost identical to those faced by lower waged workers.  Families are seeing 50% or more increases in some states, and deductibles running up to $6000 before they are able to get benefits.  Now middle-income families are in the same boat as lower waged service workers where the cost of having insurance is creating a huge, sucking hole in their paychecks.

The shameful difference is that too many, if the Times’ report is to be believed, are not blaming Trump, the Republican Congress, gridlock, or anyone else.  They are blaming lower income families and – painful irony alert – lower waged workers.  Despite the fact that many families in both of these population segments are working their asses off at any and all jobs they can muster, this is now fueling support for even more draconian work requirements for the poor and lower income families access food stamps or even Medicaid benefits.

If that isn’t a master Machiavellian stroke approaching pure evil, what is?  Pretending Trump and his people are corrupt clowns may be satisfying to some, but as the Affordable Care fight shows, we’re in a death match now, and, friends, don’t fool yourself that we’re winning.

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Republicans’ Healthcare Bill: Is it Loving the Rich or Hating the Old, Poor, and Disabled?

U.S. Capitol Police arrest a health care protester outside the office of Senate Majority Leader Mitch McConnell on June 22, 2017.(Photo: Saul Loeb, AFP/Getty Images)

New Orleans  Ok, it’s alright if you admit it. Deep down, way deep, way down, some of you hoped that the Senate would really write a healthcare bill that looked and tasted a little bit like Obama’s Affordable Care Act. When President Trump said that he thought the House Republicans’ bill was “mean,” some of you felt a glimmer of hope that maybe the Senate Republicans would get the message and come up with something less draconian. You knew that Majority Leader Mitch McConnell’s strategy of doing everything behind closed doors in secret was a bad omen, but still, this is America, hope springs eternal, you thought maybe it would not be god awful, run-to-the-bathroom-sick at first sight terrible. Bad news, all hope has been dashed. The Senate version of a “mean” bill was a we-can-top-this even meaner bill.

The raw elements have emerged. The mandate for everyone to get health care is history of course. Tax increases for the rich that had funded much of Obamacare and transferred those taxes into increased coverage for poorer Americans were also eliminated. The Senate added a couple of years to the phase down, which might for a minute seem like a better deal until you realize that they shrank Medicaid even more than the House had done. The Senate believes they have compromised by allowing states to keep expanded Medicaid which benefited millions, but staying or going is up to the states, and staying also means that in the coming years they will pay a larger and larger share of the cost of Medicaid and any subsidies that are also timed out. Oh, and for good measure, so much for some of the guaranteed national benefits for those needing maternity care or mental health support.

Somehow the Senate sees this whole Obamacare as a two-fer. Not only do they want to repeal the Affordable Care Act and sock it to the poor while re-feathering the nest of the rich, but they also want to cap Medicaid on the federal level, rather than allowing it to continue as an entitlement. By ending the entitlement they also want to punish seniors who exhaust their savings before they are old enough for Medicare as well as the disabled who depend on Medicaid for their health care in addition to SSI payments for their support. This isn’t a war on the poor, but a wholesale massacre on almost any group of people not standing in line with a contribution and a ticket to some Republican’s fundraiser.

And, get this, for some of the Senators, none of this is enough. Four or five of them are claiming this bloodletting didn’t go far enough so they won’t vote to carry this garbage until it smells even worse. There are also a couple of moderates who seem slightly perturbed that some of this might stick on their shoes, but it is unclear that they are willing to crawl out on the limb.

What’s really going on here? Do they really love the rich that much? Do they really hate women, the poor, the old, and the differently abled so much?

What can people do now to keep this horror from happening later?

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Please enjoy The Deslondes – Hurricane Shakedown

Thanks to WAMF.

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