So we have another horror story associated with the current White House AKA the DC Dark Place. The Warlock-in-Chief is championing his new healthcare bill, although people like Paul Ryan and Mitch McConnell have also pranced around the bubbling cauldron to conjure up the best poison they can find for the infirm and elderly in America. Let’s first analyze the chief features of this wicked potion.
The individual mandate of the ACA will be repealed. While even that wasn’t enough to drive millennials and other youthful citizens to participate in ACA and thus increase the healthy people in the insurance pool because in some areas the ACA insurers had stiffer premiums than the fine, instead of fixing the latter, Trumpcare will make it worse. The employer mandate will be repealed. Larger companies will now be able to tell people not to look for healthcare as an employee benefit. Subsidies for out-of-pocket expenses—deductibles and co-payments, will be repealed. Insurance companies will have a field day with that. Medicaid expansion will be killed. Planned Parenthood will be defunded (why aren’t anti-abortion activists more worried about the lives of the living?).
Premium subsidies will be eliminated and replaced by tax credits. Let’s consider the implications of that one a bit further. Will the GOP send money to a poor person if her or his tax credit is more than what s/he would pay in taxes (sometimes zero)? If the answer is yes, that’s a subsidy. If the answer is no, that person won’t bother with healthcare insurance and return back to the old days when s/he went to an ER after getting too sick, virtually eliminating preventative care, increasing death rates and lowering lifespans, and driving up hospital costs—not to mention the evil implicit in penalizing the poor and rewarding the rich. The latter is consistent with the overall reverse-Robin Hood policies of the GOP, of course. Until every American has the same healthcare as a congress person, America will still have a healthcare problem!