So, the Republicans in Congress continue to strain every fiber of their being and every last cent of the Koch brothers’ carbon-based loot in their valiant effort to fight off—the Republican Health Care Plan. Yes, the evil Obamacare, its nefarious schemes unmasked to all in a Web video recently that showed a leering Uncle Sam preparing to do a pelvic exam, was for the past TWO DECADES—the Republican Health Care Plan. Yes, it’s a Republican baby, paternity confirmed on public record, conceived in response to the Clinton health care plan of 1993, and built on the foundation of an individual mandate to purchase insurance from private insurance companies. A Republican governor (what was his name again?) actually implemented this plan and Republicans continued to advocate for it—right up until the time a Democratic president proposed it in the apparently mistaken belief that Congressional Republicans could at least be persuaded to vote for a Congressional Republican program. “Hah! Consistency? We spit on consistency! Though foolish consistency is the hobgoblin of small minds, and we have small minds, and are foolish, we reject consistency as it is much less important than denying health care to the poor and a victory to the Muslim president whose socialist plan will result in a windfall of profits for private insurance companies and…Never mind! Remember what we said about consistency!”
The history of the Republican plan was described by Ezra Klein in the New Yorker. Briefly, in 1989 the Heritage Foundation published “Assuring Affordable Health Care for All Americans,” which suggested that all individuals be required to purchase health insurance (like they must auto insurance). Then in 1993, as an alternative to the Clinton plan, the Republicans included the individual mandate in their Health Equity and Access Reform Today Act (sponsored by John Chafee, RI and co-sponsored by 18 Republicans). In 2006, Sen. Ron Wyden (D, OR) and Bob Bennett (R, UT) sponsored the Healthy Americans Act (11 R and 9 D co-sponsors). Broad Republican support. No Uncle Sam ob/gyn videos…until president Obama changed his mind in 2009 and used the Republican plan to design the Patient Protection and Affordable Care Act. Then the blue-blooded, rock-ribbed Republican baby morphed into the evil Obamacare.
So what exactly is in Obamacare that inspires such vitriol and hatred from Republicans? What makes Georgia state insurance commissioner, Ralph T. Hudgens, say he will do “everything in our power to be an obstructionist.” Well, Obamacare tries to help poor people, and that ought to be enough right there, don’t you think? But besides that, what’s in the plan? Fasten your seatbelts, folks, and raise the blast shields, because here’s a straight look into the maw of hell that is Obamacare, which proposes to:
- Prevent insurers from denying coverage or charging higher premiums to those with preexisting conditions, and from rescinding coverage after people have required expensive care
- Require plans to cover preventive services without cost-sharing (deductibles)
- Allow children to remain on their parents’ insurance up to age 26
- Eliminate lifetime limits on coverage
- Raise Medicaid eligibility to 138% of federal poverty level
- Create health insurance exchanges in which people without employer or Medicaid coverage can buy insurance (and cost-sharing for some of those who need help paying for it)
- Require everyone to have health insurance beginning in 2014 (the individual mandate)
- Require plans to spend at least 80% of premiums on actual medical costs
- Penalize employers that do not offer affordable coverage to their employees (with exceptions for small employers)
OMG! OMG! Insurers can’t drop you when you get sick or get so sick that you cost too much! They can’t deny you coverage because you had asthma when you were young? They have to spend 80% of the premium money you pay them on actual medical care (note that Medicare spends 96% on medical care)? Help, help! Call the Thought Police!
You know, I’ve looked at more detailed summaries of Obamacare (see this summary from the Kaiser Foundation) and I’m still looking for the evil. The only evil I can come up with is that it’s not Medicare for All—but that’s because it’s a Republican plan, now isn’t it?