“I am going to take care of everybody,” he said. “I don’t care if it costs me votes or not. Everybody’s going to be taken care of much better than they’re taken care of now.”
The law, better known as Obamacare, had been adopted without a single Republican vote when Democrats were in charge in the Capitol.
As Republicans now proceed to dismantle it – another promise to voters – Trump has given his blessing to its replacement, which is running into a wall of resistance ranging from doctors, hospitals, seniors advocates and many state governors to free-market conservatives.
Conservatives instead call the new bill a socialist sell-out because it would continue to provide some subsidies, albeit more meager, to pay for unaffordable insurance premiums that show every sign of becoming even more expensive.
Paying for medical treatment was largely a private or charity responsibility until the 1940s.
That’s when some employers began to provide insurance as a fringe benefit to evade wartime wage controls.
The enactment of Medicare guaranteed basic doctor and hospital coverage for everyone aged 65 and older, while Medicaid helped states pay for long-term care and insurance for certain classes of the poor and disabled.
Almost 30 years later, Bill Clinton launched another presidential effort at universal coverage, in the teeth of resistance from private insurers and small business owners, who objected to requiring that they cover their employees.
Obamacare was aimed to help fill the gap for the 16.3 percent of Americans who remained without coverage.
But Obama’s seeming success has always been overshadowed by the law’s unpopularity.
Many resent the requirement that every American be insured in some way or else pay a penalty.
Concern as Republicans move to scrap Obamacare
Another reality – a big redistribution of wealth through higher taxes, the financial dynamic underlying Obamacare.
It’s the reason that medical bills are still a significant cause of personal bankruptcy.
Yet long before Trump became a successful Republican politician, he argued that the solution for his country’s dilemma was the popular system across the northern border, where it’s the government, not private insurers, that pay the doctors and hospitals.
“Doctors might be paid less than they are now, as is the case in Canada,” Trump wrote in one of his books back in 2000, “but they would be able to treat more patients because of the reduction in their paperwork…
The Canadian plan also helps Canadians live longer and healthier than Americans.” 8
Why doesn’t he believe that any longer?
“It could have worked in a different age,” he said on his climb to the presidency.
But he’s never explained why not now.
Source: Al Jazeera News