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Sunday, July 2, 2017

What Motivates Republican Health Care Proposals?

House Republicans passed a health care bill that the non-partisan Congressional Budget Office (CBO) said would result in 23 million Americans losing their health insurance. Surveys indicate it is wildly unpopular with the American people. This past week Senate Majority Leader Mitch McConnell revealed the long-awaited Senate Republican health care bill, touted as an improvement over the House version. The CBO said it would result in 22 million people losing their health insurance.

While this may represent an improvement of a million over its House counterpart, this is improvement of the same kind as it being better to contract bubonic plague than the Ebola virus. Also heavily unpopular with the public, there were so many Republican senators voicing public opposition to McConnell's bill that he wound up withdrawing it from consideration. But don't be fooled. Another round of secret GOP deliberations is taking place with an eye to reintroducing something along similar lines in the near future.

You may be wondering, why are they coming up with "health care" bills that result in fewer people having health care? What do they really want? The key to understanding this from the Republican point of view is that these are not really health care bills at all. They are tax cuts, an issue much more dear to Republican hearts than saving people's lives with medical care. This effort is not about health care at all. It is about repealing the taxes President Obama and the Democratic congress imposed on high income earners to provide the funds to expand Medicaid for the poor by several million people and to provide the subsidies people of limited means are getting to make the purchase of health insurance affordable to them.

When these taxes are repealed there is no way to square the circle; Medicaid and premium assistance has to be cut. The only choices to be made are whose medical treatments to cut the most. The AMA, Hospital Associations, AARP, Urban League and Nurses Union all say these Republican repeal plans would be catastrophic. Harvard Medical School says upward of 45,000 Americans will die each year if these "reforms" are enacted. Yet saving the wealthy 3% on their taxes is more important to Republican politicians. 

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