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The Republican Sabotage Of Healthcare

We can all agree that the Affordable Care Act is not perfect but it was a monumental step in the right direction at a time when insurance companies were raking in record profits, jacking up rates by double digits, making the cost of insurance unaffordable for millions of Americans.

Since the ACA passed, Republicans have been trying to repeal it. Over the last eight years, Republicans have made more than 60 attempts to repeal the bill and only in the last six months have they ever offered any type of replacement.

Their latest replacement plan, that was ironically killed by three moderate Republicans in the Senate, would have kicked an estimated 32 million Americans off of their healthcare plans and would have transitioned Medicaid into a block grant system.  Ending Medicaid would have left millions of children, seniors, and the disabled without out any coverage at all.

Medicaid is the largest single provider of insurance in the country.  Nearly 40% of all child births in New Hampshire are covered by Medicaid.  Medicaid covers the cost for millions of disabled Americans who use funds to live in their own homes.  This is why dozens of ADAPT (Americans Disabled Attendant Programs Today) members protested during the Senate hearing on the Graham-Cassidy bill.

“Graham-Cassidy is the worst bill yet that Republicans have come up with to repeal Obamacare. This wasn’t what they campaigned on; they didn’t campaign to strip away the services that disabled people and seniors rely on to live in the community,” said Bruce Darling, an organizer with ADAPT. “They campaigned on fixing Obamacare and I don’t understand why they continue to target our community with cuts that will steal disabled lives instead of actually fixing anything.”

Cuts to Medicaid funding will fall first and hardest on community based services, forcing disabled people into institutions which will be underfunded hives of abuse, neglect, and human misery.

“The cuts to Medicaid funding are cruel and un-American,” said Dawn Russell, ADAPT organizer from Denver Colorado. “Forcing disabled people and seniors into institutions just to pay for tax cuts, which is what this bill does, is not equality. It’s not liberty. Graham-Cassidy is a policy for a much crueler and meaner country than this one, and the people who support it should be ashamed of themselves.”

Recently, Senator Hassan shared the story of Bodhi Bhattari, a Concord boy who experiences spinal muscular atrophy and needs hundreds of thousands of dollars in life-saving drugs every year. Bodhi’s mother, Deodonne Bhattarai, told WMUR that under the Graham-Cassidy Trumpcare proposal, “If we sold our house, we could probably keep him alive for another year.”

Now, the New Hampshire Department of Insurance estimates that 25,000 people, who get their insurance from the healthcare exchange, will see a 52% increase.

“Among 97,000 people in the individual insurance market, the 74 percent who either get federal subsidies or are part of the expanded Medicaid program will likely see their premiums drop or remain flat in 2018. But the 26 percent who pay the full cost will see sharp increases,” wrote Holly Ramer of the Associated Press.

The news of this dramatic increase on those trying to provide healthcare for their families, outraged legislators.

“I am outraged that some middle-class New Hampshire families will suffer huge premium hikes next year because of the chaos D.C. Republicans have created in the individual insurance market,” said Congresswoman Carol Shea-Porter.  “This is exactly why I spent the past year urging my colleagues to pass bipartisan marketplace stabilization legislation, which would have provided insurers with needed certainty, and also why Congress should pass my bill, the Medicare You Can Opt Into Act, and make sure every American has an affordable option that’s not vulnerable to profit-driven rate hikes.”

“That said, let me be clear: thanks to the Affordable Care Act and its Medicaid expansion, New Hampshire’s uninsured rate is at an all-time low, and I will not allow Republican state officials to use the disruption their party has caused in the individual market as justification to jeopardize that progress by ending an essential program that covers over 50,000 people in New Hampshire,” Shea-Porter added.

In the US Senate, Senator Shaheen has been working to avoid these rate hikes. Earlier this year, Senator Shaheen introduced the Marketplace Certainty Act to permanently appropriate payments for cost-sharing reductions to help stabilize state marketplaces and expand eligibility for hard-working Americans who need help paying their premiums.

“These rate increases for next year would be devastating, yet have always been avoidable,” said Senator Jeanne Shaheen. “This administration has followed through on President Trump’s threat to sabotage healthcare marketplaces as leverage to repeal the Affordable Care Act. New Hampshire families are now forced to pay the price for the Trump administration’s shameful behavior. I have been pleading with Republican leadership to allow bipartisan efforts to stabilize the healthcare marketplace to move forward, but instead, they chose to use this valuable time to make another attempt at repealing the Affordable Care Act—a law that has helped tens of thousands of Granite Staters gain access to healthcare coverage. Republicans must return to the negotiating table and work with Democrats to craft bipartisan legislation that would stabilize the marketplaces. We need to work together to mitigate the harm caused by the Administration and help working families access quality and affordable insurance.”

As a member of the Senate Health, Education, Labor, and Pensions (HELP) Committee, Senator Maggie Hassan participated this month in bipartisan health care hearings focused on stabilizing the individual health insurance market and lowering costs.

At a press conference after the defeat of the Graham-Cassidy bill, Senator Hassan said:

“We know that there is more to do on health care. There isn’t a Democrat here who doesn’t know that there are improvements we need to make. I am committed to working with members of both parties on the HELP Committee and throughout the United States Senate to come together and find ways in the short-term to stabilize our markets and lower costs. We have to address pharmaceutical costs. We have to address health care outcomes. But as long as there is this threat out there of another Trumpcare attempt, it’s going to be harder for us to do that, and it’s going to cause disruption in the very lives of the people we were sent here to represent.”

In the U.S. House, Congresswoman Annie Kuster, who also saw the possibility of massive rate hikes looming, has been working to stabilize the marketplace. Earlier this year, Kuster and nine House Democrats unveiled a five-part plan to improve upon the Affordable Care Act and stabilize the individual marketplace.

“I’ve discussed with Republican colleagues various proposals to stabilize the individual marketplace and rein in costs. I genuinely believe that there are many areas of agreement that can be reached to improve our healthcare system and I’m hopeful that my colleagues on both sides of the aisle will come to the table in good faith to get this done for the American people,” said Kuster.

Not only has the President and the Republican leadership actively worked to repeal the ACA, they have been ensuring its failure by slashing funding to the program.

Congresswoman Shea-Porter pushed back by calling on the President to release funding allocated for the exchange “navigators” program.

“Navigators are an essential resource for the American people, and the Navigator program is critical to the success of Open Enrollment. We urge you to unfreeze these funds immediately,” Shea-Porter wrote. “Americans already face a number of new hurdles to enrolling in coverage during the upcoming Open Enrollment period, including an enrollment timeframe that has been cut in half and a 90% cut to the outreach budget that could have informed consumers about this significant change. Destabilizing the Navigator program could further compound the challenges consumers will face in understanding when and how to enroll.”

Shea-Porter also submitted an amendment that would save the Navigator grant program from elimination in House Republicans’ Fiscal Year 2018 omnibus appropriations bill.

We have known for a while that the ACA needs adjustments, but you would not toss out your car because of a loose spark plug.  We need to stop this ideological and political attack on the ACA and do what is really needed to help working families.

Of course there are many among us who believe the best way to solve the entire insurance issue is to eliminate private insurance all together and move to a national single player system.

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About Matt Murray

Matt Murray is the creator and an author on the NH Labor News. He is a union member and advocate for labor and progressive politics. He also works with other unions and members to help spread our message. Follow him on Twitter @NHLabor_News
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