Chris Hayes of MSNBC put up a short but important thread today about the ACA (Obamacare) vs the AHCA (Trumpcare). Here it is, collated into bullets:
- There’s a whole lot of bait and switch going on with the GOP healthcare bills, but here’s one that’s worth noting.
- The central argument for the AHCA+ is not an affirmative one but rather “Obamacare is collasping!”. Now, the ACA is not collapsing.
- That said, the ACA exchanges in many states have *real* problems: low competition, high prices, etc… Those problems need solutions.
- But here’s the thing: solving those problems has NOTHING to do w cutting taxes for the rich & cutting medicaid.
- And yes cutting hundreds of billions in taxes for rich people and hundreds of billions in spending on Medicaid is MOST of these bills.
- “ACA’s imploding! Insurers are pulling out of exchanges! So we have to… cut taxes on investment income and slash Medicaid!”
- But one has nothing to do with the latter. They could keep the ACA taxes on the wealthy and Medicaid and do whatever to the exchanges.
- They don’t do that because, as many have pointed out: the tax cuts and Medicaid cuts *are the point*.
- And one tell is that infamous line from Paul Ryan that he’s been dreaming of block granting Medicaid since he was in college.
- BC when Ryan was at keggers dreaming of Medicaid cuts THE ACA DIDN’T EXIST. He’s implementing a vision that has nothing to do w/ the ACA.
- Ultimately the bill uses the ACA as a kind of pretext for a staggering, brazen upwards redistribution of income.