Obamacare was created in response to spiraling medical costs and a failing insurance market. There were three key components to the legislation: the individual mandate; community rating; and subsidies for people who otherwise couldn’t afford insurance. While the ideas behind Obamacare largely originated with the Heritage Foundation and were first implemented by Mitt Romney, the GOP hurled itself furiously at the program as being an expensive and unfair (i.e., tilted towards the poor) infringement on markets and personal freedom.
The House GOP plan has now been released. It keeps community rating, replaces the individual mandate with a penalty for gaps in coverage, cuts taxes on the rich, rolls back the Medicaid expansion, but only in the future, and ties subsidies to age rather than income. In short, it is the reverse Robin Hood version of Obamacare, not its negation.
Will it pass? The vote will certainly be close. There is plenty for everyone to hate in the bill, which will undoubtedly increase the number of uninsured throughout the country, damage the markets, and benefit young, healthy, and wealthy people at the expense of the poor and the sick. The bottom line, however, is that after years of frenzied assaults on the premises of Obamacare, all the legislation really does is transfer some resources from the poor to the rich; the entitlement program loathed by conservatives still stands. Was that really worth all the agitation?
On a related note, travel ban 2.0 is out, and it eliminates many of the features that made the first version so obnoxious. The drafting process was more measured and inclusive, the ridiculous ambiguities of the first version are gone, Iraq and green card and visa holders have been excluded, the preference in favor of Christians is gone, and so on. It may very well pass legal muster this time. Unfortunately, the ban is a solution in search of a problem; there is no evidence that people from the six countries in question have engaged in terrorist acts in the US, or that they are currently being inadequately vetted, or that there is a real plan to improve the vetting process. All we are left with is a signal to the rest of the world that America is no longer an open society, and significant damage to our tourist industry. The clash of civilizations will, apparently, have to wait for another day.
Finally, the Trump defense budget has been shown to be a mere 3% increase over Obama’s proposed budget, and there is no evidence of any strategic plan behind it. Apparently throwing money at the military, by itself, is supposed to deter our enemies. I think not.
All in all, Macbeth’s despairing description of life fits the actions of the GOP and the Trump Administration to date: a tale told by an idiot, full of sound and fury, signifying. . . not much.