We all know that the first attempt at repealing Obamacare (which is the same thing as the Affordable Care Act, in case you’re one if those folks who thinks they’re different) and replacing it with Trumpcare was a pathetic failure. First, the bill itself was nothing that Trump had promised. It threatened to cause 24 million people to lose their insurance coverage, nonpartisan analysts felt that it would severely damage the individual insurance market and cause premiums to skyrocket, and it had only 17% approval among the public at large. It was so bad, Paul Ryan couldn’t even bring it to the floor of the House for a vote and it died a miserable and completely deserved death. In Ryan’s defense, he really doesn’t give a crap about the poor, the middle class, or their healthcare, so nobody should have been surprised that it didn’t even pretend to do what Trump promised his Obamacare replacement would do.
But promises are promises, no? And Trump promised to replace it with (something). So Trump, looking at a fairly ineffective first 100 days, is looking to take up the mantle again and make another run at repeal and replacement (with something). But a big part of the problem was that the original Trumpcare didn’t shit on enough poor people for the “Freedom Caucus” lunatics, and didn’t suck off the insurance companies as deeply and skillfully as they would have liked. So now we have Trumpcare 2.0 coming up for a second try.
As you would expect, it’s a steaming pile of dogshit. As an attempt to placate the Freedom Caucus, who genuinely deplore the idea of the government attempting to provide any healthcare or healthcare subsidies in the first place, the new version gives states the option of “opting out” of Obamacare’s “required benefits” and also lets insurers charge people with preexisting conditions more (essentially forcing them into “high risk pools” but not funding or subsidizing those pools to make insurance affordable). For those unfamiliar with the “essential benefits”, they are:
1.Ambulatory patient services.
4.Maternity and newborn care.
5.Mental health and substance use disorder services, including behavioral health treatment.
7.Rehabilitative and habilitative services and devices.
9.Preventive and wellness services and chronic disease management.
10.Pediatric services, including oral and vision care.
So, now a state can decide to allow insurance companies to sell health insurance that doesn’t pay for emergency services, hospitalization or prescription drugs – which would be pretty damn useless to most.
But just to prove what complete hypocritical pieces of shit today’s Republican legislators are, they’ve also put in a clause that exempts their OWN health plans from this provision. In other words, they get to keep the plans with all the required benefits, but you’re at the mercy of your state lawmakers. If they’re conservative, consider yourself screwed.
I’ve seen political hypocrisy before, but this takes the cake. Share this info with any sucker you know who actually voted for these clowns. #MAGA