As the ObamaCare experiment continues, critics are still wishing for, or in some cases trying to engineer, its absolute failure.
Obviously, if you have been following politics closely since 2008, you know that right-wingers want to undermine the Affordable Care Act largely because they believe that doing so would destroy the Obama presidency, a goal they sketched out at the beginning of his first term. These folks did not—and still do not—want this president to be transformative, to go down in history as someone who mattered. And if the ACA turns out to be successful, if the experiment works, it will mean that its presidential champion, and the political party that supported him, will matter a great deal.
Peter Wehner, a very conservative columnist, used to work for George W. Bush. But in Ayn Randish, Tea Party circles, he is considered a “neo-liberal” and a “statist” and one who promotes “wealth distribution.” That’s how far right the right-wing has drifted. In the real world, the world of facts, Wehner is an anti-Obama right-winger who thinks the failure of healthcare reform will not only “indict” the Obama administration, but will “hurt liberalism,” too. Why? Because such a failure would mean that the attempt to achieve “universal health care coverage,” something that liberals “have been aiming for for half a century,” will be politically dead, along with the Obama legacy.
A few days ago, Wehner wrote a piece titled “A Scenario for the Repeal of ObamaCare,” in which he quotes fellow right-winger Avik Roy as saying that if Republicans take over the White’s House and Senate in 2017, and if the number of “newly insured could be dwarfed by the political constituency of those harmed by the law,” then “President Obama’s signature legislation may not be long for this world.” To which Wehner responds:
If so, it would sink the Obama presidency, both in real time and in the eyes of history. Which is precisely what ought to occur.
So, there you have it. They want Obama’s graying scalp, even if it means hurting millions upon millions of uninsured and otherwise uninsurable folks. This stuff is personal.
And speaking of personal, a column that appeared recently in the Joplin Globe was also personal. Except in a good way. A local businessman, who holds a degree in chemistry and physics, wrote a piece (“The impact of ACA isn’t really ‘devastating’ at all”) that blew me away (thanks to blogger Jim Wheeler for the tip).
Kelly Meares, who co-founded and operates a business in Webb City, Mo., was inspired by Senator Roy Blunt’s invitation “to share horror stories and devastation brought upon fellow Missourians by the implementation of Obamacare.” Well, I’m sure Ol’ Roy didn’t expect this ironic reply from someone here in Southwest Missouri:
Thanks for the invitation to share the devastating impacts of Obamacare on our family. If you don’t mind, I will refer to it as the ACA instead of a hate-based euphemism. Yes, Obama has adopted the term hoping to neutralize it, but the Affordable Care Act was created by Congress and built on a hodgepodge of Republican ideas in the hope of bipartisanship while still (regrettably) mollycoddling insurance companies.
Because of the ACA, our business is suffering through lower insurance costs for the first time ever. In spite of staff aging up, our provider has lowered our premium costs. We were accustomed to double-digit increases for most of the last decade.
Wow! Good ACA news for a change. And from a businessman! Meares goes on to note that an often overlooked provision in the ACA—the requirement that insurance companies in the individual and small group market have to spend at least 80% of premiums (85% for the large group market) on actual health care or else refund the difference to policyholders—resulted in 588,000 Missourians getting checks from their insurance companies in 2012.
Meares also notes that thanks to the ACA his young adult daughter “has had the security of insurance as a dependent on our policy since leaving college” and “will be able to transition to a plan on the exchange regardless of pre-existing conditions.” That is really “devastating stuff,” he mockingly tells Senator Blunt.
But what is really devastating, in terms of countering enemies of the ACA like Roy Blunt, is the following sweet sarcasm:
I fear that the ACA will allow hospitals and medical practitioners to spend less time chasing debtors and foreclosing on the homes of the unfortunate people who happen to have some assets but insufficient or no insurance coverage for whatever reason. The medicos will be liberated to practice medicine and will have less deadbeat debt to pass on to the paying customers.
And now mom-and-pop businesses that make the sacrifice to provide insurance for their employees will have a more level playing field against those businesses that neglect their moral obligation to their workers. Consider this — if your business model depends on a paying a non-living wage and pushing your workers into the safety net (provided by others), then you are not an entrepreneur; you are an exploiter. To borrow a popular hate phrase: You are not a producer; you are a parasite.
Dang! How refreshing to see reflected on the local paper’s opinion page, a page usually filled with anti-Obama and anti-ACA nonsense, the point of view of a businessman who believes that businesses ought not “neglect their moral obligation to their workers.” Heck, who around these parts even knew that businesses actually have a moral obligation to their workers? Fantastic stuff.
Mr. Meares urged “the Missouri GOP controlled statehouse” to “do the right thing” by expanding Medicaid in the state, which would affect 193,000 Missourians. Then he candidly admitted that the ACA is not the perfect solution, that “single payer” would be preferable. “But the doomsayers shot that down,” he says. Yes, they did. From the start there was very little consideration of a single-payer system, which is why, as this principled businessman said earlier, that the ACA was constructed with “a hodgepodge of Republican ideas in the hope of bipartisanship while still (regrettably) mollycoddling insurance companies.”
Meares then looked Roy Blunt in the eyes and told him,
Enough of the mock outrage and straw man arguments, please.
And he finished his remarkable column with this:
Of course, it’s human nature not to like the ACA simply because nobody actually wants insurance. Nobody wants hospitals or doctors. Everybody wants to live a healthy, non-medically entwined existence. But unless the GOP can deliver the latter, then you must do more to support the former instead of making political capital on our denial and obstructing the flawed solution.
I request that you serve the people of Missouri and reject the politics of GOP obstruction at all costs.