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Overselling Obamacare and Trumpcare

From our birth up until the Indiana primary of last year or so we were as steadfastly Republican a soul as you’re likely to find even here in deep-red Kansas, so of course we’ve been anxiously awaiting the repeal of Obamacare for coming up on eight long years now, but president-elect Donald Trump’s latest statements to The Washington Post on the subject are not reassuring. He’s long promised repeal, and by now we don’t doubt him a bit about that, but he’s also promising a replacement that would provide “lower numbers, much lower deductibles” and “insurance for everybody.” Which sounds great, especially when he insists we believe him, because that he can tell us, OK?, but we can’t help suspecting it sounds a bit too great.
Being street-savvy and wised-up sorts of erstwhile Republicans we were never fooled by President Barack Obama’s assurances that his eponymous Obamacare would save the average American family $2,500 a year and insure everybody and not add a single dime to the national debt, or any of that blather about how if you like your plan you can keep your plan and if you like your doctor you can keep your doctor, and along with every last Republican Senator and Representative in Congress, even the ones from those wimpy northeastern states and districts, we were against it all along. It sounded so convincing, what with those well-crafted phrases delivered in that smooth baritone voice, but the numbers never did add up. Given all the same ongoing laws of probability and supply and demand and the rest of darned reality, we’re doubtful that Trump will be any more able to deliver on a promise of both lower deductibles and universal coverage. Liberals more honest than Obama have always acknowledged that universal coverage will entail greater universal costs, more honest conservatives than Trump have always countered that leaving free people to pursue their self-interests will results in the greatest good for the greatest number of people even if there are some costs entailed, but the more demagogic types on both ends of the spectrum will always promise that no such hard choices need be made.
Feel free to disagree, as there are arguments aplenty to be made, but our prairie Republican instincts incline us to side with free people pursuing their own self-interests and the government having as little to do with it as possible. We don’t want people dying in the street, and are quite willing to limp along with a health care system that pays for indigent emergency care through whatever convoluted and no doubt costly means the pre- and post-Obamacare systems provided, bit if you’re claiming to have come up with something so ingenious that it can simultaneously cover everyone and lower everyone’s costs we’re going to be skeptical no matter what party you’re claiming to represent.
As usual with Trump’s triumphant claims, there was a follow-up interview with a more well-spoken spokesman who reassured all us conservatives, as the term was formerly defined, that Trump was actually talking about such free-market reforms as eliminating interstate competition in the insurance market. That does seem a good idea to us, as do some other of those free-market reforms he mentioned, but even that more well-spoken spokesman didn’t attempt to explain how they’d wind up with both lower deductibles and universal coverage. Presumably he meant to imply that such free-market reforms would lower health insurance premiums and other costs to point there was “universal access,” which is what the the Republicans have always called their best effort at the greatest good for the greatest number of people, but we wish he’d just gone with that persuasively honest term, which at least won’t wind up seeming so ridiculous as all that nonsense about Obamacare’s big savings and debt-neutrality and keeping your plan and doctor.
Hating Obamacare is such a longstanding habit by now that almost any other national health care policy will seem a welcome relief, however, and we’ll hold out hope that the mostly pre-Trumpian Republicans in Congress will continue hating it for the some doctrinaire reasons and be suspicious of any newly peddled snake oil claims about everything working out well for everyone.

— Bud Norman

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