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AHCA’s Failure To Pass Doesn’t Mean Healthcare Isn’t In Need of Fixing

by Dr. Kazmir
03/27/2017 11:42 am ET

Follow me on Twitter: @mk1157

The AHCA was destroyed by a combination of Democrats, moderate Republicans, and hardcore Conservative/Libertarian types, all of whom had different reasons for opposing the bill, but nonetheless all came together to defeat it.

House Speaker Paul Ryan made a major mistake rushing through the process and refusing to be transparent. He should have taken his time, met with a variety of house members and Senators, and then carefully put together a comprehensive bill everybody could get behind.

Instead, he botched all of that and essentially began with what Senator Rand Paul called “Diet Obamacare.” President Trump, of all people, should have seen this coming. Any smart negotiator knows you do not start with your final offer. Ryan did, and he was left looking like a fool.

I think Paul Ryan is a smart guy and despite what his political enemies say – regardless of whether one likes his ideas – I do believe he has the best interests of Americans at heart.

Maligning his intentions is both unfair and wrong.

And while I am a supporter of President Trump, he has to take some of the blame here, too. He is known for his deal-making skills, yet, somehow, he allowed this negotiation to be bungled stupendously.

None of this changes the fact that Obamacare is in major peril at the moment, and the reasons why are numerous, beginning with the fact that the bill was 1900 pages long and virtually nobody who voted for it actually read it.

As Nancy Pelosi famously said as the debate over Obamacare was raging on in Washington, “We have to pass the bill so that you can find out what’s in it.”

The idea was to put something in place and then fix it along the way.

That never happened.

Most people who now have coverage under Obamacare will tell you the same thing….”I have big deductibles, less choice of doctor and hospitals and my premium costs have exploded.”

The only people happy with the current state of Obamacare are the roughly 90% of the insureds under the system who are either getting large federal subsidies or are now eligible for Medicaid.

For those who pay the full amount, they make just enough to not get a subsidy but too little to afford the skyrocketing premiums.

Family coverage in a state like NY costs $1,294 per month (after taxes) with a $12,700 family deductible. Only annual physicals and certain well care is covered until the family reaches that deductible. No prescription drug coverage until that deductible is met.

That is why people who are paying for this coverage are calling it the Unaffordable Care Act.

Let’s look at what the Act was intended to do:

Lower costs, increase choice, and provide improved healthcare for all Americans.

None of that became a reality.

Don’t forget the most pronounced promise of all……”If you like your plan you can keep your plan.”

The dishonesty of that statement ended up being so egregious that it was Politifact’s “Lie of the Year” in 2013.

Paul Ryan has said that as a result of the AHCA’s failure, we will all be living with Obamacare for the foreseeable future.

But the reality is, Obamacare is self-destructing, and sooner or later, something is going to have to be done about it.

Like it or not, this issue is not going away. It will need to be re-addressed at some point, perhaps sooner than Ryan expects.

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