Monday, April 24, 2017

Trump's Big CON: Repeal & Replace Was a Scam All Along

"Imagine a man who for some reason is determined to stuff a balloon into a box — a box that, aside from being the wrong shape, just isn’t big enough. He starts working at one corner, pushing the balloon into position. But then he realizes that the air he’s squeezed out at one end has caused the balloon to expand elsewhere. So he tries at the opposite corner, but this undoes his original work.

If he’s stupid or obsessive enough, he can spend a long time at this exercise, trying it from various different angles, and maybe even briefly convince himself that he’s making progress. But he’s kidding himself: No matter what he does, the balloon isn’t going to fit in that box.

Now you understand what’s happening to G.O.P. efforts to repeal and replace the Affordable Care Act.

Republicans have spent many years denouncing Obamacare as a terrible, horrible, no good law and insisting that they can do much better. They successfully convinced many voters that they could preserve the good stuff — the dramatic expansion of coverage that has brought the percentage of Americans without health insurance to a record low — while reducing premiums, shrinking deductibles and, of course, doing away with the taxes on high incomes that pay for the program.

Those promises basically define the box into which they’re trying to stuff health care. . .

The only way Republicans might have been able to do what they promised would be if they had some way to make health care much cheaper. That would in effect let some air out of the balloon, and maybe make it possible to get it into the box after all. But they don’t.

The truth is that while Republicans have portrayed Obamacare as a crazy, inefficient scheme, it has in fact been much more successful at containing costs than even its proponents expected.

There are some things we could do that would probably make it even cheaper, but they would all involve moving left — say, introducing a public option, or going all the way to single-payer. The G.O.P., which is determined to move right instead, reducing the public sector’s role, has offered no reason for anyone to believe that it could do better.

All of this raises the obvious question: If Republicans never had a plausible alternative to Obamacare, if this debacle was so inevitable, what was the constant refrain of “repeal and replace” all about?

The answer, surely, is that it began as a cynical ploy; at first, the Republicans hoped to kill health reform before it really got started. And now they’ve trapped themselves: They can’t admit that they have no ideas without, in effect, admitting that they were lying all along."

Read The New York Times, The Balloon, the Box and Health Care.

As I suggested many times, Obama should have called the Republi-CON bluff many years ago.