Thursday, February 16, 2017

Trump to Obamacare: "You're Fired!"

Trump is in Charge, with big changes on "Day One."  There is downside to that.


Trump made a big show in his first days in office.   There was a new sheriff in town.  He signed Executive Orders.  He immediately reversed Obama decisions and held the documents up for the cameras.  The optics were clear: he was strong, decisive, making changes. 

Voters wanted change.  They got it.

Message Loud and Clear
Meanwhile, there is inertia of programs already in place.  In the weeks prior to his inauguration there was a flurry of people signing up for the ACA, Obamacare, trying to grab what they could before it disappeared.  Maybe they would be grandfathered.  Maybe there would be some months of coverage.  This took place in the context of Trump resolute it would be repealed promptly and Trump and Congress saying they would replace it. 


The important news isn't interesting enough to be newsworthy.  Problems are accelerating in the insurance marketplaces established by Obamacare.  News of this is drowned out amid big dramas of Trump's tweets and Flynn's being fired and Trump meeting Abe and House Members arguing over whether to investigate Flynn's contact with Russia or the leakers who revealed he had lied to Pence and that possibly he was simply following the orders of President-elect Trump.   Still, whether Humana remains in the ACA marketplace is of critical importance to whether the ACA can survive.  The future was uncertain at best, the rules might change, insurers were losing money because the sickest people were signing up and financial support for younger and healthier people was fading away.

The inertia of Obamacare was a death spiral of collapse.  When insurers leave the marketplace people will not be able to buy insurance at any price.   Republican opposition made certain there would not be a backstop of a public option.  

Who gets blamed for the impending mess?   Republicans made it easy for Democrats.

They succeeded in selling this
Trump, and Republicans generally, wanted credit for taking charge, for being decisive, for changing everything-Obama on Day One.  Trump liked that bull in a china shop image.  He was a CEO, saying "You're Fired!"

Had Republicans handled the campaign differently, and the transition differently things might be better for them.   They might have been able to sell the notion that the chaos belonged to Obama, not them.  

They are trapped by their own base and how they amped up that base.  Republican voters did not want to hear that "Obamacare has a lot of things going for it, that it was actually a Republican/Heritage Foundation program that we are going to improve.    No.  It was essential that they communicate that they are going to repeal it.   The House made a show of this with dozens of votes communicating that if they had the chance they would kill Obamacare.  Now they have the chance.   

If people see a corpse of Obamacare people know whom to blame--the people who bragged about killing it.  Republicans. 

Ideal for Republicans would be to blame the collapse on Obama.  It was failing already!  See what a mess he left?  Blame Obama.

It won't work because Republicans were so successful in communicating that they would change Obamacare immediately, that they were pulling the rug out from under it.  As the spotlight shines on the mess it will be them holding the rug.  They own the collapse.

There will be controversy over this.  Republicans and Fox News and Trump will point back and try to undo their previous message,saying the mess was really Obama's.

Too late.  They presented themselves as Obamacare's executioner so when Obamacare dies people will assume they did it.  

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1 comment:

miketuba said...

One of the knives that was driven into "Obamacare" was wielded by Marco Rubio. His amendment to an unrelated, but must pass bill did away with the concept of risk corridors. The Affordable Care Act anticipated that many of the newly insured would have serious pent-up medical needs. Extra funding was available to help insurers through the initial years of the Affordable Care Act and thus not lose money because of the added risk caused by these sicker patients. Hence the term risk corridor. That is why so many insurers had to raise premiums so dramatically. This is why so many insurers are threatening to leave the market entirely. Thank little Marco.