Repeal and Replace

There’s a television show where a group of people go around to auctions and buy ‘stuff’ to resell. They’ll “bid up” the price to screw other people out of money (I expect this is a strategy to prevent competition for upcoming items?) but sometimes get stuck with a high price on something they didn’t actually want because the competition backs out of bidding prior to expectations. I’m worried the AHCA is the guy who overpaid for junk … it started out as a marketing ploy than actual legislation. Pass a repeal and go to their constituents with “*I* got this passed for you (vote for me again), but the bloody rest of the HR stopped your will from being enacted. We don’t have enough Reps, donate NOW and get more R’s in here. Oh, the cursed President said not to worry because he’ll veto the bill — donate NOW and vote for the R. Oh, wait, this didn’t pass the Senate – send money NOW so we can get a super-majority in 2018.

Except it passes the Senate and the incumbents have to live with the results of their legislation. And, yeah, this country has a policy where hospitals need to provide emergency care to anyone regardless of means (they can also bill the person a few hundred thousand dollars, slowly drain away that person’s assets, and file a lien against the estate). Which is great for a relatively health person who suffers a sudden calamity — car crash, fall down a mountain, etc. May not even be terrible for someone who experiences a heart attack. Town halls with Tea Partiers going on about abstract death panels are going to seem like nothing. Wait until the people slowly dying with access only to emergency interventions that extend their suffering start popping up in the town halls — no coverage for the cancer relapse, but you’ll stabilize me and send me home to suffer a few more weeks. People who realize that, sure, an insurance plan *is* available to someone who had a stroke a few years back but how does this state high risk pool with a 250k annual premium help ME? Seniors who lose their subsidies and can no longer afford heath care. People stuck in terrible work situations because losing coverage means the condition will become pre-existing.

Wait until women see premiums quadruple after having a child. My local rep couldn’t tell me if the insurance company would be disallowed from raising my premiums if I self-funded sterilization, provided a doctors note attesting to menopause, swapped over to female partners, or otherwise precluded future pregnancies … and he then he got all annoyed with my expectation that he would have read and, ya know, *understood* the full text of a bill for which he was voting. 

And Republicans will free insurance companies from ACA’s requirement to spend 80-85% of premiums on health services … so all of these sad stories will be coupled with record profits and stock buy-backs within the insurance sector.

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