Tags: 2018 Midterm Elections | Barack Obama | Healthcare Reform | Medicare | cbo | democrats | liberal

GOP Botching Obamacare Politics Ahead of Midterms

GOP Botching Obamacare Politics Ahead of Midterms

(Tracy King/Dreamstime)

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Monday, 24 September 2018 11:53 AM Current | Bio | Archive

For the first time in years, Republicans are playing defense on healthcare in the midst of an election campaign.

A lot of them would like to keep bashing Obamacare and, now, bash the single-payer plans that are drawing more and more support from Democrats. But the way they have gone after the health-care law is keeping their message from prevailing.

Congressional Republicans spent much of 2017 trying to pass legislation to make major changes to Obamacare. Democrats said those bills would gut the law’s protections for people with pre-existing conditions — and Republicans have never come up with a solid response to that charge.

Republicans compounded their problem by backing an ill-considered lawsuit to invalidate Obamacare, including its provisions about pre-existing conditions. Josh Hawley, the Republican candidate for Senate from Missouri, supports the lawsuit as the state’s attorney general. His opponent, incumbent Democratic Senator Claire McCaskill, isn’t letting anyone forget it. Hawley says that he favors legislating new protections if the lawsuit succeeds.

It’s the same story in the West Virginia Senate race: A Democratic incumbent, Joe Manchin, is up against a Republican attorney general, Patrick Morrisey, who joined the lawsuit. Manchin is hitting Morrisey hard over the issue.

Some Senate Republicans are trying to contain the political fallout from the lawsuit by introducing legislation they vow to enact if it succeeds. That legislation purports to prohibit insurers from discriminating against people with pre-existing conditions, but it is poorly drafted. Its text requires insurers to cover people without regard to their health status, but does not appear to require the insurers to cover the conditions for which the patients need treatment.

Republicans are on stronger ground defending their previous legislative record, or would be if more of them were conversant with the issues. There, the key item of contention is a part of the House Republican bill that would have let states apply for waivers from Obamacare’s regulations. In states with waivers, insurers would have been allowed to charge higher premiums to people who went without insurance, got sick and then tried to sign up.

In theory, that system would keep premiums lower by deterring people from gaming the system. Healthy people would have an incentive to buy insurance rather than wait until they got sick.

The bill would not have taken people with chronic health conditions back to the situation they were in before Obamacare. Even in waiver states, they would have Obamacare’s regulatory protections so long as they maintained continuous coverage.

And it would be easier to maintain continuous coverage than it had been before Obamacare. The bill largely maintained Obamacare’s subsidies for people without access to employer coverage, Medicare or Medicaid.

Those with chronic conditions but no coverage, meanwhile, would have access to government-financed high-risk pools. These pools were, admittedly, oversubscribed before Obamacare. But the subsidies for people in the individual market and the regulatory protection for those who maintained coverage would both work to shrink the applicant pool.

It should also be remembered that, especially in the post-Obamacare landscape, state officials would have a powerful political incentive not to jeopardize affordable coverage for people with pre-existing conditions. The current campaign is itself evidence that the goal of keeping them covered has strong political support.

But there is certainly a policy debate to be had on these issues. It’s too bad for the Republican candidates this year that so few of them have shown any ability to engage in it.

Ramesh Ponnuru is a Bloomberg View columnist. He is a senior editor of National Review and the author of “The Party of Death: The Democrats, the Media, the Courts, and the Disregard for Human Life.” To read more of his reports — Click Here Now.

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RameshPonnuru
In the post-Obamacare landscape, state officials would have a powerful political incentive not to jeopardize affordable coverage for people with pre-existing conditions. The current campaign is itself evidence that the goal of keeping them covered has strong support.
cbo, democrats, liberal, manchin, mccaskill, west virginia
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2018-53-24
Monday, 24 September 2018 11:53 AM
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