Any politician worth his or her career will tell you that the hardest thing to do in government is to take away what currently exists in law or programs that affect their constituents. Obamacare was often seen as a ‘band-aid’ solution to long-standing problems with health care coverage in the U.S., either private or public. Prior to its introduction at the time, the government estimated that the number of people in the country without health insurance was about 47 million persons. Furthermore, if the proportions remained constant, it was estimated that there might have been nearly 16 million people with a chronic condition but no insurance to pay for medical care. Individuals with health preconditions could either not obtain health insurance or could not afford insurance due to much higher premiums.
What the Republicans have to worry about is a real danger to their control of the House and Senate in upcoming elections because of Trumpcare. Based on the current bill, budget analysts estimate 24 million people would lose insurance over a decade, 14 million in the first year. Older Americans would face higher costs. It also gives the states more leeway to reduce coverage under Medicare and Medicaid, as well changing other health care policies. The insurers that will almost certainly feel the strain are those who provide a lot of coverage through Medicaid, which is subsidized. The Democrats have already accused the GOP of favouring the rich over the poor with proposed changes under Trumpcare. One can bet that Democrats will carry this highly emotive issue into the next federal elections. Republicans up for re-election have already faced hostile opposition from affected constituents to the point where some Senators have vowed to write their own bill.
There’s a basic premise in politics that it is always harder for a ruling party to take away provisions or funding that exist under current laws. Given that Obamacare has been around for several years, Americans who have benefited are prepared to fight to maintain their access to health care under the present system. Despite assurances by the GOP and the President, Trumpcare represents a great number of uncertainties. With the health of millions of Americans, both young and old, at stake, these uncertainties represent a real danger to the GOP control of Congress. In dismantling the Affordable Care Act, the stakes are very high, especially if done in a quick and dirty fashion. No issue has been more contentious in modern times. If mishandled, this critical issue could eventually lead to the downfall of the GOP, one way or another.
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