Monday 27 March 2017

Wonkbook: Why Republicans were in such a hurry on health care

By Matt O'Brien Why were Republicans rushing to vote on a h...
 
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President Trump, accompanied by Vice President Pence, shakes hands with Rep. Paul Ryan (R-Wis.) on Jan. 26 prior to speaking at the Republican congressional retreat in Philadelphia. (AP Photo/Matt Rourke)

By Matt O'Brien

Why were Republicans rushing to vote on a health-care plan that they'd barely finished drafting, that budget scorekeepers hadn't had a chance to fully evaluate, and that, insofar as people did know about it, was widely despised?

In part, it's because their plan was so unpopular and because it got more unpopular the more people learned about it. But it's also because only by rushing to reshape a full sixth of the American economy without knowing exactly how they would be reshaping it would Republicans be able to use health care to pave the way for the rest of their agenda, including tax reform. In other words, the GOP didn't want to let a detail like tens of millions of people losing their health insurance get in the way of two tax cuts for the rich.

Here's what we knew about the Republican plan. The latest version that the nonpartisan Congressional Budget Office had a chance to analyze would have, over the course of 10 years, cut taxes by $1 trillion, disproportionately benefiting the rich; cut Medicaid spending by $839 billion, exclusively harming the poor and sick; and cut the Affordable Care Act's health insurance subsidies by about $300 billion, mostly hurting older people of modest means. Add it all up, and the CBO estimated that 24 million people would have lost their health insurance as a result. Not only that, but premiums would have increased 15 percent to 20 percent more than they otherwise would have in the next four years before so many older people were priced out of the market that premiums would have started to come down, and deductibles, according to the Kaiser Family Foundation, would have been an average of $1,550 higher. In short: The GOP would have made insurance more affordable for younger people by making it unaffordable for older people and worse for everyone.

This wasn't just a matter of higher premiums and higher deductibles, though.

Read the rest on Wonkblog.


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