The proposal is not at all what Donald Trump promised Americans. He said that under his administration,Â no one would lose coverage. He saidÂ everybody would be insured. And the insurance he provided would be aÂ âlot less expensive.â
Senate Democrats spent every day this weekÂ pointing this out and demanding that Senate Republicans end their furtive, star-chamber scheming and expose their health insurance proposal to public scrutiny. That unveilingÂ is supposed to happenÂ today.
Republicans have kept their plan under wraps because, like the House measure, it is a son of a bitch. Among other serious problems,Â it would restore caps on coverageÂ so that if a young coupleâs baby is born with serious heart problems,Â as comedian Jimmy Kimmelâs was, theyâd be bankrupted and future treatment for the infant jeopardized.
Donald Trump has warned Senate Republicans, though. Even if the GOP thinks it was fun to rebuff Democratsâ pleas for a public process, they really should pay attention to the President. Heâs got veto power.
Republicans have spent the past six years condemning the Affordable Care Act (ACA), which passed in 2010 after Senate Democrats acceptedÂ 160 Republican amendments, heldÂ 110 bipartisan public hearings and conducted 25 consecutive daysÂ of public floor debate. Despite all of that, Republicans contend the ACA is the worst thing since Hitler.
That is what they assert about a law thatÂ increased the number of insured Americans by 20 million, prohibited discrimination against people with pre-existing conditions and eliminated the annual and lifetime caps that insurers used to cut off coverage for sick infants and people with cancer.
The entire cavalry of Republican candidates for the GOP nomination for President promised to repeal the ACA, but Donald Trump went further. He pledged to replace it with a big league better bill.
In May 2015, he announced on Twitter: âIâm not going to cut Social Security like every other Republican andÂ Iâm not going to cut Medicare or Medicaid.â
In September 2015, he said of his health insurance plansÂ on CBS Newsâ 60 Minutes,Â âI am going to take care of everybody. I donât care if it costs me votes or not. Everybodyâs going to be taken care of much better than theyâre taken care of now.â
In another 60 Minutes interview,Â this one with Lesley Stahl last November, he said, âAnd itâll be great health care for much less money. So itâll be better health care, much better, for less money. Not a bad combination.â
In January, heÂ told the Washington Post,Â âWeâre going to have insurance for everybody.â He explained, âThere was a philosophy in some circles that if you canât pay for it, you donât get it. Thatâs not going to happen with us.â
But then, the House Republicans betrayed him. The nonpartisan Congressional Budget Office said the measure they passed, called the American Health Care Act (AHCA), wouldÂ cut more than $800 billion from Medicaid. It said people with pre-existing conditions and some older Americans would faceÂ âextremely high premiums.â
Extremely high is an understatement. Here is an example from the CBO report: A 64-year-old with a $26,500 income pays $1,700 for coverage under the Affordable Care Act (ACA), but would be forced to cough upÂ more than half of his or her income â $16,000 â for insuranceÂ under the House Republican plan. Overall, premiums wouldÂ increase 20 percentÂ in the first year. And insurers could charge older people five times the rate they bill younger Americans.
House Republicans said states couldÂ permit insurers to squirm out of federal minimum coverageÂ requirements, and in states where that occurred, the CBO said some consumers would be hit with thousands of dollars in increased costs for maternity care, mental health treatment and substance abuse services.
In the first year, the House GOP plan would rob insurance fromÂ 14 million Americans.
So much for covering everyone with âgreat health care at much less money.â
Itâs true that President Trump held a party for House Republicans in the Rose Garden after they narrowly passed their bill. But it seems like he did not become aware until later just how horrific the measure is, how signing it into law would make him look like a rank politician, a swamp dweller who spouts promises he has no intention of keeping.
By last week when President Trump met with 15 Senate Republicans about their efforts to pass a health insurance bill, he no longer was reveling in the House measure. He called itÂ âcold-hearted.âÂ He asked the senators to be moreÂ âgenerous,â to putÂ âadditional moneyâÂ into their version.
Senators told reportersÂ that President Trump wanted them to pass a bill that is not viewed as an attack on low-income Americans and provides larger tax credits to enable people to buy insurance.
Now that sounds a little more like the Donald Trump who repeatedly promised his health insurance replacement bill would cover everyone at a lower cost. Still, those goals remain amorphous.
The House bill isÂ stunningly unpopular, almost as detested as Congress itself. President Trump seems to grasp the enormity of that problem. But even his calling it a âson of a bitchâ doesnât seem to have been enough to persuade senators that heâs serious about getting legislation that achieves his promises to leave Medicaid intact, cover everyone and lower costs.
Republican senators deciding the fate of millions of Americans must hear from Donald Trump that passing a health insurance bill that doesnât fulfill his campaign promises is, shall we say, a cancer on the Presidency.
A veto threat would get their attention.
This blog originally appeared at OurFuture.org on June 21, 2017. Reprinted with permission.Â
About the Author: Leo GerardÂ is president of the United Steelworkers.