With Trump set to appoint Rep. Mike Price (R-Ga.) to head Health and Human Services, he's making good on his threat to destroy Obamacare. Even if the legislation doesn't disappear, Price will do everything in his considerable power to hobble it until it stops working altogether. Here's Greg Sargent:
Unlike many Republicans, Price has at least given a lot of thought to how to replace the ACA. But Price’s own replacement proposal would roll back the Medicaid expansion, a substantial portion of financial assistance for others getting coverage, and a fair amount of regulation of the individual market. And so, the likely end result (again, at best) is that a lot of the 20 million people who would lose coverage due to repeal will remain without coverage, and protections for those with bad medical conditions will be eroded.
Did people benefiting from Obamacare who voted for Trump really expect repeal to happen? I think we need more reporting on this question. Yes, Trump did repeatedly say he would repeal Obamacare. But he also said he would replace it with “something terrific.” And he explicitly went out of his way to create the impression that he does not agree ideologically with Republicans who are hostile to government efforts to supply health care to those who can’t afford it.
Now, it’s always possible that many voters backed Trump in the full knowledge that their Obamacare might be repealed, for other reasons — because, for instance, he’ll supposedly bring manufacturing and coal jobs roaring back. Before long, those voters will learn whether their bet was a well-placed one. It’s also possible that Trump will surprise us all and insist on some kind of replacement that somehow preserves much of Obamacare’s coverage expansion. And a kick-the-can-down-the-road scenario which keeps deferring the harshest fallout from repeal is also a possibility.
But it now looks more likely that we’ll see a substantial rollback of the progress toward universal health coverage we’ve seen in the past few years. News organizations love to venture into Trump’s America to hear voters explain that Trump spoke far more directly to their economic struggles than Democrats did. Maybe now we’ll get more coverage of those inhabitants of Trump’s America who are set to lose their health care, too.
How many Trump voters will lose their health insurance as a direct consequence of his election? Krugman estimates 4 million, and shows his work.
Elections have consequences.