Trump Attacks HealthCare He Promised to Protect

During the 2016 election Trump repeatedly claimed he would help people with pre-existing conditions yet his direction to Attorney General Barr to attack the constitutionality of the Affordable Care Act says differently. It is the Affordable Care Act, aka Obamacare, that protects people with pre-existing conditions from being charged outrageous and often unaffordable premiums.

Trump also campaigned promising, “I’m not going to cut Social Security like every other Republican and I’m not going to cut Medicare or Medicaid.” His proposed 2020 budget cuts all three.

This isn’t just about breaking campaign promises it’s about people’s lives, their physical well-being and their financial health. If Trump succeeds in overturning the Affordable Care Act in court and his proposed budget is passed there are a host of the negative consequences to the lives of most Americans.

Without the Affordable Care Act, most young adults 18-26 will lose the option to be covered under their parent’s insurance plan. Many young adults work part time while going to trade schools or college and aren’t eligible for employer sponsored health insurance and individual plans are notoriously expensive so overturning the Affordable Care Act via the courts will cause tens of thousands of young Americans like my daughter to lose their health insurance.

Do you know anyone with cancer or other expensive life threatening conditions? Should the courts overturn the Affordable Care Act insurance companies would once again be able to set annual and lifetime limits on the amount they’ll cover. Between two episodes of blood clots, one of which involved open heart surgery, a staph infection the nearly killed her and various other surgeries my wife would long ago have busted through the caps that many insurers were once allowed. In other words people like my wife would either die from lack of care or their family would go bankrupt or both.

The Affordable Care Act requires insurers to maintain at least an 80% medical loss ratio; that means at least 80% of premiums have to be spent on actual medical care. If an insurance company ends the year with less than that they have to refund you the difference. The first two years after the ACA first went into effect I got substantial refund checks. My insurer finally got the hang of not overcharging. Without the ACA you can bet medical loss ratios will fall and meaning premiums will go up just to so the insurance company can have higher profits.

Trump’s 2020 budget cutting Medicare and Medicaid would also impact many of us either directly or through our loved ones and friends. Medicare is already the most efficient provider of health insurance spending upwards of 95% of premiums on health care as opposed to the 80% allowed to private insurers. Cutting Medicare will mean cutting coverage or cutting physician reimbursement or both. Considering that Medicare already pays most physicians less than other insurers you can see it won’t end well.

Do you know someone in a nursing home? If so, chances are that Medicaid covers some or all of the cost since it covers 2 out of 3 nursing home residents. Trump’s 2020 budget cuts Medicaid, are you ready to care for you parent or grand-parent when they are kicked out of the nursing home?

Trump’s actions are just cruel and heartless. Let’s hope his enablers in the Senate at least see the electoral downside of this and stop him before it’s too late. If they don’t the 2020 election will be a blood bath at the polls.

Published in the Seguin Gazette April 5, 2019