This government shutdown droning on for most of the past month focuses on healthcare.
Democrats say the budget outline bill passed by Republicans earlier this year supercharges price increases for insurance. The Republicans say they are cutting waste and showing that the Affordable Care Act – what everyone knows as Obamacare – is a failure.
Many of us have already received the proposed monthly rates for 2026 coverage. They aren’t pretty. I’m on Medicare, with much lower costs than people below age 65, and my rates are doubling – with less overall coverage.
If I’m a younger person paying multiples of what I do, I imagine being terrified by what I’m looking at. To the extent that it might cross my mind to forego coverage – a disaster in the making if something terrible happens, as it does too often.
What makes the Republican stance particularly intriguing is that, by all indications, the clamoring for repealing Obamacare that immediately followed its enactment has just about vanished. It was unpopular at first due largely to a mistake Obama made in selling the program – that nothing about your healthcare would change and that you could keep the doctors you wanted.
But there were doctors and insurers who didn’t want to go along. And a lot of people did – and continue to need to – change doctors, dentists and other healthcare professionals.
We’ve gotten used to that. In the end, being able to afford being well supersedes whether or not you can talk to your doctor about how the Mets did this year.
In the process, millions of people who didn’t have healthcare got it. Obamacare’s popularity has soared in the 15 years it has been in existence. So much so that John McCain might have been trying to save his own party when he did his famous thumbs-down that stymied one of umpteen Republican efforts to kill the ACA.
One funny thing about Obamacare is that its origin story is Republican. It’s fairly similar to the healthcare program in Massachusetts shepherded by Mitt Romney when he was governor. The ideas of using the existing insurance market and mandating coverage came from him.
But here’s where this all gets weird if you look at it from a less-partisan point of view. Did Republicans turn vehemently against Obamacare because they seriously don’t believe in providing protection against rising healthcare costs, or did they do so because Obama adopted their idea?
What they’ve said is that they want to “repeal and replace” the ACA. They have never, in 15 years, told us what they would replace it with, only that “repeal” would come before “replace.”
It’s reached the point of laughable – in the debate with Kamala Harris, Trump said he had “concepts” of a plan.
You would think, after 15 years, if Obamacare was so godawful terrible, that plan would be beautifully fine turned, with input from conservative thinktanks that would address the supposed flaws.
And then, if Democrats were true to their mission of providing quality healthcare at lower costs, they would seriously consider the GOP plan and adopt those parts that they believe would work.
It’s just that the Republicans don’t have that plan. They haven’t told us what Trump’s “concepts” are.
Instead, they’ve blamed all the problems facing America’s middle and working classes on desperate people fleeing economic and/or political terror in countries throughout the world. Also known as: They’re coming here to take our jobs and get stuff for nothing.
In a way, I hope these premium hikes people are getting in the mail or online might help put this problem into real perspective. The government shutdown is already bringing pain to the nation and its economy – and that’s only going to get worse as it drags on.
But, as Jon Stewart pointed out on his show last week, fighting to keep healthcare affordable is the very least an out-of-power Democratic Party can do for its constituents – actually, given how Trump voters will be disproportionately hurt by this, what it can do for the whole country.
It would be nice if the United States had a political system that worked to solve real problems, not manufactured ones.
But instead, we fight viciously over what is actually a problem – and that’s a disaster in the making. And we get caught up in nonsense – did Katie Porter yell at an interviewer in California, is Bad Bunny really an American, will Zohran Mamdani impose Sharia law on Brooklyn?
When the healthcare debates started, I was on board with a single-payer system. I would be willing to pay more in taxes if it meant I never had to worry about getting sick and going into deep debt. Obamacare was a way to get some of what I wanted and, as its namesake likes to say, good is not the enemy of perfect.
If some principled conservative has a way to make healthcare more available and cheaper, I’m ready to listen.
Otherwise, leave what’s working alone, rescind the tax cuts that wipe out healthcare subsidies, and get this country open again.