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.


Bruce Maples
Bruce Maples has been involved in politics and activism since 2004, when he became active in the Kerry Kentucky movement. He has been President, Vice-President, and Treasurer of the Metro Democratic Club, and has served on the Democratic Party Executive Committee in Louisville. He began blogging in 2004, and currently operates two personal blogs ( and He founded Forward Kentucky in the wake of the state elections in 2015, and expanded it in the summer of 2016. He has lived in Louisville since 1992 with his wife and two sons.


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