Trump and Ryan Get Served Humble Pie as Obamacare Repeal/Replace Juggernaut Crashes into Tea Party Ice Berg in Shocking Defeat

The Trump Administration has been on a legislative rampage since inauguration with numerous controversial executive orders and the first big planned legislative event was the repeal and replacement of the ACA otherwise known as Obamacare. They seemed intent on maintaining a high level of momentum and speed in executing their agenda.

All this came to a screeching halt on Friday as the much hyped Trumpcare/Ryancare Bill meant to replace Obamacare was pulled from the planned vote in an embarrassing defeat as there were not enough votes for the Bill to pass.

 

The implications and level of this failure are quite astounding. The GOP has voted to repeal or amend Obamacare 54 times while Obama was in office. There was never a problem getting those bills passed in the GOP controlled House during Obama’s term.

Now that the Republicans control the Presidency, House, and Senate, the failure of the House to pass a bill puts the GOP is a bright “Emperor has no clothes!” spotlight. The obvious conclusions are:

  1. The Republicans NEVER had a true working plan to amend/repeal Obamacare. All those consensus votes in the past were a FRAUD knowing the bill would fail in the Senate or be vetoed by Obama. Now that they know their Bills will really go into effect, everyone is no longer on the same page.
  2. The Republicans had seven years to develop a working replacement plan but have NOTHING to show for it. Think of all the taxpayer time and money wasted in their fake “repeal” bills put on just for show.
  3. The GOP is very good at opposing the Democrats, but come up short at the task of governing and building consensus. It’s far easier to be disruptive than creative.

The inside story is that White House Chief Strategist Steve Bannon thought he had power he didn’t have when he tried to force rebelling Republicans to get in line and vote “yes”, and their reply was basically:

 

 

As for Trump, his aura of invincibility along with his winning streak for successfully bucking the system has come to an end. All the “Business mastery” bravado and supposed “Art of the Deal” expertise have met their match at the hands of rebelling fellow Republicans.

It became all too clear that electing a person with no prior political experience or expertise to the highest office in the land comes at a cost.

 

 

Nobody knew healthcare could be so complicated?? Actually, anyone with any experience or who paid ANY attention at all to the healthcare problems over the past few decades knew it was a complicated issue. You would have to be supremely arrogant or naive to think you could just walk into a problem you didn’t research or have any background knowledge in and think you would come up with an “easy” solution.

 

When met with this failure, does Trump own up to it and accept the loss like Paul Ryan did? Nope, he pointed the blame away from himself:

 

It’s beyond absurd to blame the Democrats when The Presidency, House, and Senate are controlled by Republicans and they are trying to pass a law that goes against the healthcare package the Dems created. Why would the Dems support a bill that replaces their own law with a much WORSE substitute? That’s like your boss asking you to vote to cut your pay in half, and then complaining that nobody agreed to it.

He’s also now saying he never said this bill was a top issue and that he never said he’d do it quickly- another LIE:

Does Trump have amnesia that EVERYTHING he says to the public is recorded?

Some folks will blame The Freedom Caucus – the group of Republicans that voted against the bill, but in truth, they were just keeping the GOP to their word of repealing Obamacare rather than amending it. They wanted it eliminated entirely as the GOP said they would do time and time again. The GOP was once again burned for making promises they knew they couldn’t keep.

There’s a clear obvious reason the GOP backed off fully repealing Obamacare – many of their constituents would be be impacted and lose their health insurance. That would have bad consequences for them come election time.

The GOP healthcare bill was built on arrogance and the desire to cut taxes for the wealthy rather than try to obtain low cost effective healthcare for all. They didn’t try to work with the Dems for their input or seek advice from the American Medical Association, American Hospital Association, AARP, and a host of others who are opposing this fault ridden bill.

Some of the biggest problems of the bill:

  1. Does NOTHING to address rising costs of health care services
  2. Reduces subsidies for most and especially the elderly – the folks who will most likely need medical attention
  3. Allows insurers to hike up costs for those over 50 up to 500% of what is being charged to younger people. Obamacare capped top rate to 300%
  4. Eliminates all essential benefits like preventative care, prescription drugs, maternity care, addiction help, etc.. This basically allows insurers to sell you pieces of paper that say “insurance”, but cover very little so you come up snake eyes if you ever need to use it.
  5. Eliminates Federal funding of Planned Parenthood. Even though no federal funds are used by PP for abortions by law, the ACHA tries to mandate moral agenda by forbidding PP to conduct any services regarding abortions if they wish to continue to receive funding- funding that now goes to women’s health care like mammogram screenings.
  6. Removes “mandate” to buy insurance while keeping the rule that no preexisting conditions can be excluded. This is a recipe for disaster as people will only now sign up if they get sick, and insurers stand to lose billions. This alone GUARANTEES skyrocketing insurance rates to cover for these losses.
  7. Gives the wealthiest groups millions of dollars in tax cuts at the expense of everyone else in higher rates/less coverage
  8. CBO estimates 24 million folks will lose their insurance.

As bad as this bill was, the GOP Freedom Caucus still felt this package was “too generous” and wanted even more cuts- to the point where moderate Republicans were now refusing to vote for this.

Trump promised he would fix the health care problems, but this bill makes things far worse. Makes you wonder if he even took the time to read it.

Now he says he will just let Obamacare implode on it’s own- walking away from the problem like a quitter instead of a dedicated elected official trying to help those who elected him into office.

Why not work to repair Obamacare to solve the problems instead of trying to just slap together a toxic inferior replacement? The answer is they want tax cuts more than they want to create a true working and acceptable healthcare plan. Thanks to the numerous angry town halls of their own constituents yelling at them to come up with a REAL solution or leave Obamacare alone, they knew they’d be in big trouble if they went ahead with this “repeal/replace” charade.

Former Speaker of the House John Boehner’s speech on Obamacare now fits the Republican American Health Care Act (AHCA) like a glove:

 

 

Republicans now OWN the healthcare issue and pressure needs to be kept on them to provide a solution that works for the majority, not just their wealthy elite donors.

 

My Experience and Opinons on Obamacare

health reform

The mere mention of the words “ACA” or “Obamacare” can start a flood of comments. There doesn’t seem to be a big middle ground as people are either in support of it or vehemently against it.

As someone who was already getting private insurance before the onset of Obamacare, I can give you my first hand experience and impressions about it.

I was also one of the privately insured who received a notice that my insurance would be cancelled next year due to changes in the health laws. Like others, I was also surprised and not expecting that. I had assumed that I would have a choice to pick a plan under the ACA or stay with my current plan.

Obama took tons of heat from people angry that their insurance got cancelled despite his promise that folks would be able to keep their plans if they want. The thing is, it seems to me Obamacare isn’t the reason the plans were cancelled, as in they were not “ordered” to close, but the insurance companies are using it as a reason to get rid of them. Here is where we see the law of unintended consequences coming into play.

The new law makes it mandatory for everyone to buy insurance. The insurance companies know this. Therefore, they now have a great incentive to get rid of their cheapest plans knowing that they have a guaranteed market of buyers. Now an argument can be made that the Pres and Co. should have realized this would happen and therefor can still be blamed. This is an unfortunate consequence of creating forced demand.

So my next step is to see what is available on the new ACA health exchange. Fortunately I live in California, one of the states that created their own separate exchange so I didn’t have to deal with those huge problems the Healthcare.gov site had.

I guess I should discuss my thoughts about the Healthcare.gov kick off debacle. They blew it- no excuses. Simple as that. I’ve worked on many IT/software development projects and it’s clear the website development team were sorely lacking in organization and accountability. That said, this is how things work – ideally, the company knows in advance how much time is needed for a project by discussing it with their engineers. In reality, many companies just pick an arbitrary date and expect their team to work overtime or do what it takes to get it done. The “reality way” sucks, and is the reason many people wonder why they choose the engineering/IT profession with all the late nights and weekends spent at work.

The next problem is the “moving target” of scope of work. In the beginning there is a cloud of confusion as to what needs to be done and that chews up time. Then finally a plan is developed , and as more information comes in the plans can change dramatically, negating much of the work that was already done. You can be sure that plans were changing constantly with a project of this scope and size. This also consumes lots of time.

At the congressional hearing on what went wrong, they also mentioned that they only spent about two weeks doing end to end testing. This is a joke as even small projects can require months of full testing and one of this size would need far more than just two weeks.

Those in charge should have delayed the start by a month or two and taken the heat from it. The next alternative was to open it to just a few states at first before making it nationwide. Instead they just let it start as scheduled and “hoped” for the best. Terrible decision. It would have been far better to be embarrassed by a delayed start than a software fiasco that makes everyone involved look like dunces.  It just gives all the opponents that much more ammo to attack with. There clearly needs to be accountability for the decisions made.

Of course it also needs to be said, the web site is itself not “Obamacare” and a problem with the site doesn’t automatically equate with the law being a failure, despite what all the detractors say. We won’t know if it’s on track for success or failure for at least a year or two.

Okay, so I get on “CoveredCalifornia” via the Cali health exchange and see what I have to do to get insurance.

The required information includes entering my social security number and expected salary for 2014 as well as any known deductions. From that they determine whether one is eligible for Medicaid or ACA coverage.  This is a HUGE difference from what was needed for private insurance pre-ACA. The forms I had to fill out before required me to fill out pages and pages of medical history, naming any and every doctor I’ve visited, where they worked, medications taken, procedures done, results of all actions over the last several years. When filling those forms out you were always under the gun to include anything and everything medical because the form also stated that failure to include ALL medical details would be cause for insurance cancellation.

There have been proven cases where someone came down with a serious chronic illness and needed ongoing expensive treatment, and then shortly thereafter, their insurance company researched their past medical records and cancelled their insurance because they failed to write down they had acne when they were a teenager. This is what most people worry about in the world of private insurance – getting cancelled when you need it the most for some spurious reason.

So the easy form to fill out is an immediate plus to me, as well as the fact that I know I can’t be kicked off my insurance or denied as a result of companies trying to cut costs.

Now I get to choose from the insurance packages being offered and compare the new prices to what I’m currently paying under the old private system. My current insurance is known as “catastrophic”, meaning that I will pay for all medical expenses until costs exceed the deductible which is about $5K, then my insurance covers everything else. However, the yearly check up and vaccinations are included and the deductible is waived for those. The high deductible allowed me to get lower cost monthly payments.

I can opt for this since I haven’t required many visits to the doctor and am counting on the trend to continue. Now some who are unfamiliar with insurance might argue why am I willing to pay for insurance when I still have to pay for medical expenses up to five thousand dollars. The answer is risk management – I’m only risking a maximum of $5k in medical expenses per year versus my life savings and assets if I should get seriously ill or injured and require medical treatment exceeding $5k. For those unfamiliar with medical costs, I had to go to the emergency room once, and I saw my insurance (full coverage at the time and not private) paid out $11K to the hospital. That’s just one visit. Extended stays in the hospital and surgery can run into the tens and hundreds of thousands of dollars. By not being insured properly, one is risking their financial livelihoods.

The new private insurance plans now being offered runs more expensive than my current plan, but they also include a lot more coverage. A visit to the doctor now has a fixed lower cost for the first 3 visits, as well as emergency room, urgent care, and other operations like x-rays. My out of pocket expenses now have some cushioning. My total deductible is now higher at over $6K, but the fixed lower costs of visits and procedures more than make up for it. Knowing the costs in advance makes it easier to figure out expenses than the unknown of what the costs would be. In the past, I’d try to call to get prices of doctor visits out of pocket, and no one would know the answer- or at least they kept their lips sealed- so there was always a worry a trip to the doc would be big bucks.

I selected my plan, and the first attempt to finalize failed as the system output an error message. The data was saved, so I tried again, and got the same error message. I was going to call, but I figure I’d try a day later first, since my data was saved with my log on account. When I tried it the next day, success!

So overall, the process of signing up wasn’t that bad at all, and in my opinion, the benefits of the new system are great and much superior to the much more complicated multiple page medical information required under the old system.

Another argument I’ve been seeing online that makes no sense is that doctors will reject insurance under Obamacare. It makes no sense because I’m buying private insurance under the system, so there’s no way any doctor can tell how your insurance is obtained. The argument is really referring to Medicaid, which is different, but folks are conflating the two either by mistake or deliberately as a false attack.

The software glitches will eventually(hopefully) be fully resolved and then the real proof will be if costs are controlled.

As an entrepreneur, I think this new system is great because it finally lets people get decent private insurance at more affordable costs. The biggest fear most people have with leaving the office job and striking out on their own is the loss of insurance benefits from their company. The ACA removes that problem.

Coming down with a preexisiting condition like diabetes or cancer meant you were trapped to the insurance company you were currently with, and if they kicked you out or left your state, you were out of luck. Now you have a full selection of insurance companies to pick with no fear of rejection due to a preexisting condition. This is also a huge plus.