breaking news

Navy filing homicide charges against 2 ship commanders; Champaign Co. man died after ship collision

COMMENTARY: Health-care bill is a giant wealth transfer to the rich


The Senate’s bill to repeal the Affordable Care Act is not a health-care bill. It’s a tax cut for the wealthiest Americans, paid for by a dramatic reduction in health-care funding for approximately 23 million poor, disabled and working middle-class Americans.

America’s wealthiest taxpayers (earning more than $200,000 a year, $250,000 for couples) would get a tax cut totaling $346 billion over 10 years, representing what they save from no longer financing health care for lower-income Americans.

That’s not all. The bill would save an additional $400 billion on Medicaid, which Senate Majority Leader Mitch McConnell, House Speaker Paul Ryan and President Donald Trump are intent on shrinking in order to cut even more taxes for the wealthy and for big corporations.

If enacted, the bill would be the largest single transfer of wealth to the rich from the middle class and poor in American history.

This disgrace is being proposed at a time when America’s rich own the highest percentage of the nation’s wealth and receive the highest percent of U.S. income since the era of the robber barons of the late 19th century.

COMMENTARY: Covering the White House, or at least trying to

Almost all of the transfer is hidden inside a bill that’s supposed to be a kinder and gentler version of its House counterpart, which Trump called “mean, mean, mean.”

Look closely and it’s even meaner.

The Senate bill appears to retain the Affordable Care Act’s subsidies for poorer Americans. But starting in 2020, the subsidies would no longer be available for many of the working poor who now receive them, nor for anyone who’s not eligible for Medicaid.

Another illusion: The bill seems to keep the Affordable Care Act’s Medicaid expansion. But the expansion is phased out, starting in 2021.

The core of the bill — where its biggest savings come from — is a huge reduction in Medicaid, America’s health-care program for the poor, elderly and disabled.

This, too, is disguised. States would receive an amount of money per Medicaid recipient that appears to grow as health care costs rise. But starting in 2025, the payments would be based on how fast costs rise in the economy as a whole.

COMMENTARY FROM E.J. Dionne: Off into the jungle of political suspicion

Yet medical costs are rising faster than overall costs. They’ll almost surely continue to do so — as America’s elderly population grows, and as new medical devices, technologies and drugs prolong life.

Which means that after 2025, Medicaid coverage will shrink.

The nonpartisan Urban Institute estimates that between 2019 and 2028, about $467 billion less will be spent on Medicaid than would be spent than if Medicaid funding were to keep up with the expected rise in medical costs. After that, presumably, the shortfall would be even larger.

The states would have to make up the difference, but many won’t want to or be able to.

One final major deception: Proponents of the bill say it would continue to protect people with preexisting conditions. But the bill allows states to reduce insurance coverage for everyone, including people with preexisting conditions.

So insurance companies could technically “cover” people with preexisting conditions for the cost of, say, their visits to a doctor, but not hospitalization, drugs or anything else they need.

The Senate bill only seems like a kinder, gentler version of the House repeal of the Affordable Care Act, but over time it would be even crueler.

COMMUNITY ROUNDTABLE: Trying to plug veterans into the right jobs

Will the American public find out? Not if McConnell can help it.

He hasn’t scheduled a single hearing on the bill.

He’s shut out major hospitals, physician groups, consumer advocates and organizations representing millions of patients with heart disease, cancer, diabetes and other serious illnesses.

McConnell thinks he’s found a quiet way not only to repeal the Affordable Care Act but also to unravel Medicaid — and funnel the savings to the rich.

For years, Republicans have been looking for ways to undermine America’s three core social insurance programs: Medicaid, Medicare and Social Security. The three constitute the major legacy of the Democrats, of Franklin D. Roosevelt and Lyndon Johnson. All continue to be immensely popular.

Barack Obama’s Affordable Care Act is almost part of that legacy. It’s not on quite as solid a footing as the others because it’s still new, and some wrinkles need to be ironed out. But most Americans support it.

Now McConnell believes he can begin to undo the legacy, starting with the Affordable Care Act and, gradually, Medicaid.

But he knows he has to do it in secret if he’s to be successful.

If this shameful bill is enacted, McConnell and Trump — as well as every Republican senator who signs on — will bear the burden of hundreds of thousands of deaths that could have been avoided, were they not so determined to make rich Americans even richer.



Reader Comments ...


Next Up in Opinion

Opinion: Republicans must lead in upcoming abortion debate

This year, as every year, I will be joining the hundreds of thousands who will be arriving in Washington, D.C., for the March for Life, noting the anniversary of the 1973 Roe v. Wade decision, which legalized abortion on demand in our country. The event has taken place every year since 1973 and will continue to take place every year until this disastrous...
Opinion: Sofia Vergara, frozen embryos and forced procreation

The Supreme Court of Colorado will soon rule on whether a person has a constitutional right to not procreate. The dispute is between Drake Rooks and his ex-wife, Mandy Rooks. The couple were married in 2002. They had three children using in vitro fertilization, but were left with six frozen embryos. In 2014, they divorced. Now they are embroiled in...
Opinion: In Oregon, progressivism spills over at the pump

WASHINGTON — Frank Lloyd Wright purportedly said, “Tip the world over on its side and everything loose will land in Los Angeles.” Today, however, Oregon is the state with the strangest state of mind, which has something to do with it being impeccably progressive: In the series “Portlandia,” the mention of artisanal lightbulbs...
OPINION: How African leaders betrayed MLK’s vision after his death

Rev. Martin Luther King Jr. would have been 89 years old on this King Holiday. 2018 also marks the 50th anniversary of his assassination. The ideals he stood for far outlasted his life and in an age of growing intolerance, it’s important to examine how far society has gone to implement his vision of social justice, respect, and human dignity...
Opinion: ‘Fire and Fury’ is book we got, not one we needed

America desperately wanted this book. America desperately needed it, too. That’s why “Fire and Fury,” by journalist Michael Wolff, which purported to be a fly-on-the-wall, inside view of life in the Trump White House, shot to Number One on Amazon.com last week after Donald Trump’s lawyers tried to suppress it. It’s why...
More Stories