Wednesday, October 16, 2013

why the GOP hates Obamacare

The grounds for the Republican Party’s opposition to the Affordable Care Act are far from a single coherent argument. It is all the more confusing because one of the health care reform’s key provisions, the individual insurance mandate, has conservative origins. The requirement that individuals be required to purchase health insurance first emerged in Republican health care reform bills introduced in 1993 as alternatives to the Clinton administration’s plan.

That mandate was also a prominent feature of the Massachusetts plan passed under Gov. Mitt Romney in 2006. According to Romney, “we got the idea of an individual mandate from [Newt Gingrich], and [Newt] got it from the Heritage Foundation,” Forbes reports. Furthermore, as Bill Keller argued in an op-ed for The New York Times, the GOP should be “the people who ought to be most vigorously applauding this success story” because the reform of the United States’s “overpriced, underperforming health care system” was done almost entirely with market incentives instead of government decree.

The fact that the idea of the individual mandate developed out of GOP rhetoric proves that the party is not opposed to the thought of making insurance affordable to millions of Americans. “Many states now require passengers in automobiles to wear seat-belts for their own protection,” Stuart Butler, a health care expert for the conservative-leaning Heritage Foundation, wrote in a 1989 brief titled Assuring Affordable Health Care for All Americans. “Many others require anybody driving a car to have liability insurance. But neither the federal government nor any state requires all households to protect themselves from the potentially catastrophic costs of a serious accident or illness.”

So the argument goes that just as legally mandated insurance makes economic sense for automobiles, it makes sense for health care, as well.

Several theories as to why Republicans want to see Obamacare defunded and repealed have been tossed around.

Republicans have said that the health care reform will destroy the economy. “Well, if you don’t believe Obamacare is the biggest job killer in the country, look to the facts,” Republican Rep. Ted Cruz of Texas said during his 21-hour speech on the Senate floor earlier this month. “This year, report after report has rolled in about employers restricting work hours to less than 30 hours per week — the point where the mandate kicks in. The data also points to record-low workweeks in low-wage industries.”

But for most companies, the employer mandate is not a huge burden. The companies that do not provide insurance and will be required to probably employ around 1 percent of American workers.

The theory put forward by Keller in his op-ed and by Eduardo Porter in his New York Times piece entitled “Why the Health Care Law Scares the G.O.P.” is that Republicans are worried that Americans will like the benefits of the reform too much. “You have probably figured out that the real mission of the Republican extortionists and their big-money backers was to scuttle the law before most Americans recognized it as a godsend and rendered it politically untouchable,” Keller wrote.

That argument makes sense to some degree. Speaking to radio host Rush Limbaugh in late August, Cruz said that President Obama “wants to get as many Americans as possible addicted to the subsidies, addicted to the sugar, because he knows that in modern times, no major entitlement has ever been implemented and then unwound.”

But in Keller’s opinion, it is too late. Health care reform has already accomplished its first goal of enrolling millions of uninsured Americans, “many of whom have been living one medical emergency away from the poorhouse,” he wrote in the op-ed. The fact that the computer glitches that plagued the first week the exchanges were open for enrollment was evidence of demand for affordable coverage. This demand “is the 90 percent of the story that doesn’t make the headlines,” Sam Glick of the Oliver Wyman consulting firm told Keller.

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