The Republican Party won control of government promising: Help for the unemployed, help for the uninsured; help for the struggling, help for the anxious. But help isn't on its agenda. The plan, instead, is cruelty.
It’s how we get the Affordable Health Care Act, a profoundly nasty bill whose callousness is just barely matched by its shoddy, haphazard construction. Here is what the AHCA, deemed “Trumpcare,” would do if signed into law: Allow states to waive coverage for “essential health benefits” like hospitalization, maternity care, and mental health coverage; allow discrimination against people with pre-existing conditions like asthma, cancer, and other ailments without a safety net for Americans priced out of the individual market; allow employers to hollow out health benefits for their employees, threatening health insurance for the millions of Americans who receive it through their jobs; remove funding that helps give care to children in special education classes.
Under the original AHCA, 24 million people would lose insurance. House Republicans have ignored the Congressional Budget Office and kept the text of the bill from public view. But when you’ve ended protections for pre-existing conditions and destabilized individual and group markets, it’s a virtual guarantee that even more Americans will lose health insurance on top of those 24 million.
That’s millions of low-income Americans, unable to pay for basic—but often life-saving—care. That’s millions of American women, ineligible for health insurance because they were once pregnant, or abused, or raped. That’s addicts, many in communities that voted for Donald Trump and back Republican lawmakers, who can’t purchase or afford insurance because of their addiction. That’s someone struggling with mental health issues, now deemed a high risk for insurers. That’s countless Americans who, through chance or fate, live with injuries and disorders and diseases that will leave them uninsurable without the protections of the Affordable Care Act.
All of this is being done not to improve the American health care system or deliver better (or cheaper) care—as House Speaker Paul Ryan continuously and falsely insists—but to cut taxes on the richest taxpayers. The AHCA, in other words, isn’t a health care bill as much as it is a vehicle for upward redistribution, taking from the bottom to give to the very top.