Tag Archives: Obamacare

Once More into the Breach, Dear Friends

Unchastened by multiple past failures of leadership and intellect, the Republicans in Congress have signaled their intention to bring one more piece of “repeal Obamacare” legislation to a vote before the month is out, so as to secure the benefit of a 50-votes-wins procedure. This time it’s the Graham-Cassidy version that would replace the Affordable Care Act with block grants to the states which would then be free, individually, to permit insurers to effectively price out of existence the coverage for pre-existing conditions that is now mandated by federal law. They will do this even without scoring of the impact by the Congressional Budget Office.

Thus, each state that chooses to support the Republican goal of undermining access to health insurance for Americans in order to secure some vague idea of “fiscal responsibility” and, more truthfully, to stamp out perceived federal support for such practices as abortion, can do whatever it wants with access to health insurance. This, notwithstanding that all polling shows a substantial majority of Americans favor key elements of Obamacare protections, including coverage for pre-existing conditions.

This effort is urged on the Republican Party by its putative leader, Donald Trump, who hates everything associated with Barack Obama and is determined to remove all vestiges of Obama’s presidency from the face of the earth. Trump thinks he can’t lose here because he promised his so-called political “base” that he would get rid of Obamacare. If he succeeds, and the base delusionally concludes it’s a victory for them, Trump is a hero. If Congress cannot deliver the bill to him for signature, Trump still sees himself as the winner because it is Congress’s failure, yet again, that has denied him fulfillment.

And nothing is more important to Trump than winning. So far, his presidency has failed in almost every significant initiative it has attempted, so Trump is desperate to accomplish something, anything, regardless of the consequences.

It is time, once again, for the people to rise up and reject this outrage by demanding in the clearest way possible that every member of the Republican Party in Congress vote against this monstrosity. Almost all of them will disrespect the will of the people, of course, because in the end they don’t give a damn about the people. But there are a few, literally only a few, Republicans who have previously shown the courage and humanity to stand apart from the rest of the drones.

Here we have Senators McCain (Arizona), Collins (Maine) and Murkowski (Alaska). It comes down to the same three people to demonstrate the moral fiber and independence of thought and action that history now demands of them. Senator Paul of Kentucky has already said he is opposed to the bill, but you can’t count on him to stay that course. He hates the Affordable Care Act almost as much as Trump does.

Everyone who cares about this should lay down a barrage of calls, emails, tweets and posts calling on those three to stand, once more, as the bulwark against the depravity of the Republican Party and its attempt to deny tens of millions of Americans any modicum of real access to health insurance.

When You Rest on Your Laurels, You Become a Stationary Target

The defeat of the Republican-sponsored American Health Care Act (AHCA) was a great victory for the people.  Thanks go to the organizing leaders at, in alpha order: ACLU/PeoplePower.org), Grassroots Alexandria, Indivisible (and its many local arms), MoveOn.org, Women’s March, plus the many other national and local groups whose names I don’t even know and, of course, to the individuals who called, wrote, marched, protested, demonstrated and rallied against the atrocity of the AHCA. And thanks also to AARP, American Hospital Association, American Medical Association, American Psychiatric Association, National Alliance on Mental Illness, and Planned Parenthood, among others.

I have noted that some people feel that we have somehow “won the war” with this victory and that they can now either step back or at least “move on to something else.” This is an understandable response to what has happened. At the same time, we must not become complacent about the Trump administration. The AHCA could be brought back by the Republican majority at any time. So by all means celebrate, relish the feeling of a huge and, I must say it, improbable achievement. Then prepare to fight the enemy in our front.

But also post guards on the flanks and in the rear. Trump blames the loss of the ACHA on Democrats and, of course, he would. It is certain as the sunrise, however, that Trump never expected any Democrat to vote for the bill. Blaming Democrats is just another head-fake. Remember, as someone (not Thomas Jefferson) famously said, “the price of freedom is eternal vigilance.” This is particularly true now. Trump and Ryan are humiliated and angry and they have shown that they do not grasp what “the welfare of the people” really means.

Moreover, Trump has tweeted that the way forward is this: “ObamaCare will explode and we will all get together and piece together a great healthcare plan for THE PEOPLE. Do not worry!” That tweet has been “liked” over 91,000 times. As suggested by Deepak Gupta and others, what does this say about Trump’s constitutional obligation to “take Care that the Laws be faithfully executed?” U.S. Constitution, Art. II, sec. 3. Trump appears to believe that the Take Care obligation is part of the “fake Constitution” and does not apply to him. Wrong again.

What comes next is not clear. It could be “tax reform” or something else. Or multiple things. We already know that the Trump administration, through executive orders and Cabinet appointments, has declared war on the environment. Many more craven acts of legislative and regulatory vandalism are coming. But the March for Science is also coming – on April 22 in Washington and elsewhere … and many other demonstrations of the peoples’ commitment to resisting the destructive agenda of the Trump administration. It is critically important to show Trump that the people do not accept his assault on the air they breathe and the water they drink, that the people do not accept his attempt to shift the burden of taxation toward the population sector already suffering economic hardship or worse and that the people will not accept his effort to turn the country into “fortress America” with border walls and distrust of everyone who does not fit his narrow concept of what it means to be an American.

The Resistance must remain constant, relentless and ubiquitous so the administration sees that there are no weak spots to be exploited. Resistance is the only course left to stop the right-wing idealogues from undermining American values. In this regard, finally, it is important to make clear to Democratic lawmakers at every level that supporting the Republican agenda in any respect is unacceptable.

We have seen what the Republican agenda is prepared to do to achieve its imaginary wonderland of the “free market” in all things: just consider that the leadership was prepared to strip from the Affordable Car Act replacement legislation most of the “essential benefits” in order to appease the Freedom Caucus and secure their votes. Fortunately for the country, enough of the extremist demands of the Freedom Caucus were rejected to stop them from supporting the legislation. While Trump’s oft-touted-but-never-demonstrated negotiating skills failed him in this instance, we have seen the price the leadership was willing to pay to achieve their ideological ends, regardless of the consequences to the people who need those “essential benefits” the most. We cannot afford to take chances with a group that is willing to drive the country off a cliff to prove a point.

Update: Speaker Ryan Doesn’t Know, Doesn’t Care

Last night I posted a piece that argued the Republicans were blindly adhering to a political philosophy at the expense of depriving some of America’s most vulnerable people of their health insurance now provided through the Affordable Care Act (Obamacare). I woke today to learn that the Republican Speaker of the House, when asked yesterday how many people may lose coverage under the Republican plan, responded with “I can’t answer that question. It’s up to people…. People are going to do what they want to do with their lives because we believe in individual freedom in this country.” http://wapo.st/2nwDKOA See that and other similar quotes from key Republicans, some of whom apparently believe in magic and argue that the Republican replacement legislation, ridiculously call the American Health Care Act, will result in more people being covered than under Obamacare and for lower costs, just like Trump promised during the campaign and subsequently.

Ryan’s “I don’t know and it doesn’t matter as long as people have freedom to choose” comment confirms my earlier point that the replacement legislation is about a point of political philosophy and its proponents could care less who is hurt.

We will know shortly, as the Congressional Budget Office is due to release its analysis of the Republican bill today or tomorrow. Of course, anticipating the worst, the Republicans are ready. They say “you can’t believe what those people say; they’re wrong all the time; health care is very complicated.” No doubt Trump would agree, having already intoned that “nobody knew” how complicated it was. Ryan is saying, in effect, “take some medicine; it’s good for you because you get to choose it and, trust us, it will cost less, though we can’t say what it will actually do for you. But at least you were free; no one forced you to take it and that’s what’s most important.”

We are in a scenario now where sitting on the sidelines will result in fundamental changes in the American way of life. It is very hard to see who will benefit. Trump promised to help coal miners, steelworkers and automobile workers but there is no evidence so far that he has any concept of how to deliver on those promises. I urge all who believe what I am saying to look closely at the websites for PeoplePower.org, MoveOn.org and ACLU.org to see ways you can take action, lawfully and peacefully, to resist the Republican plan to move America backward.