Trump: Healthcare Reform Vote After GOP Win in 2020

Petr Svab
By Petr Svab
April 2, 2019Politics
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Trump: Healthcare Reform Vote After GOP Win in 2020
President Donald Trump at a MAGA rally in Grand Rapids, Mich., on March 28, 2019. (Charlotte Cuthbertson/The Epoch Times)

President Donald Trump said Republican healthcare reform will only come after the 2020 election when, the president assumed, the GOP will retake the House of Representatives and have enough votes to pass a replacement of the Affordable Care Act also called Obamacare.

“Everybody agrees that ObamaCare doesn’t work. Premiums & deductibles are far too high—Really bad HealthCare!” Trump said in a series of tweets on April 1. “Even the Dems want to replace it, but with Medicare for all, which would cause 180 million Americans to lose their beloved private health insurance.”

Both parties generally agree that healthcare has gotten too expensive. Moreover, national health spending will grow at 5.5 percent a year on average from 2018 to 2027, estimated a February study by the Centers for Medicare and Medicaid Services. Such an increase would likely outpace economic growth, making Americans pay a yet larger share of their income on healthcare.

Each party offers a different way to bring the prices down.

Government Control

A significant portion of Democrat lawmakers, including all the leading presidential candidates, have come in support of “Medicare for all” or a single-payer, government-run healthcare.

Expanding Medicare to cover all Americans would cost an estimated $32 trillion over 10 years and would require substantial tax hikes.

Less Regulation

Trump would like to do the opposite—reduce government regulation to increase competition in the market.

“The Republicans are developing a really great HealthCare Plan with far lower premiums (cost) & deductibles than ObamaCare,” he said in a tweet. “In other words it will be far less expensive & much more usable than ObamaCare. Vote will be taken right after the Election when Republicans hold the Senate & win back the House. It will be truly great HealthCare that will work for America.”

Pre-Existing Conditions

Trump has insisted the plan must include protections for patients with pre-existing conditions—the most popular part of Obamacare.

“Republicans will always support Pre-Existing Conditions,” he said. “The Republican Party will be known as the Party of Great HealtCare [sic].”

Such protections would require government intervention, such as subsidized insurance for several million people with pre-existing conditions who could neither get insured through their employers, nor afford premiums on the individual market.

GOP Senate Team

Trump said on March 28 he asked Sens. John Barroso (R-Wyo.), Bill Cassidy (R-La.), and Rick Scott (R-Fla.) and some others to put together a healthcare plan to replace Obamacare.

The lawmakers are to “come up with something that’s really spectacular, maybe will even get support in the House from Democrats,” he said.

Trump, however, doesn’t appear to have much hope in brokering a deal with the Democrats.

“He’d love to be able to address it now, but we know that Democrats are controlled by the far, radical left-wing of their party and they are a total contrast to what we need and what the president wants to see happen when it comes to healthcare,” White House Press Secretary Sarah Sanders told Fox News on April 2.

“They want to see this Medicare for all, government takeover of healthcare and the president wants to see healthcare returned to the power of the patient, he wants the people that are receiving the care to get to make decisions about it.”

In the absence of legislative action, the administration plans to tweak the healthcare system within the power of the executive branch, Sanders said.

Trump has already put pressure on drug companies to reduce prices. The prescription drug price index has dropped by nearly a percent from January to February, the largest decrease ever in the seasonally adjusted data reaching back to 1969. Compared to February 2018, the index is down almost 1.2 percent, the largest drop since 1972.

Obamacare in Legal Jeopardy

In a March 25 federal court filing, the Justice Department sided with a federal judge in Texas who ruled Obamacare unconstitutional. The case is expected to reach the Supreme Court and if the law is indeed struck down, it would significantly deregulate the individual insurance market and withdraw a slew of taxes and subsidies. Such a scenario would likely escalate the pressure on Congress to enact some form of healthcare reform.

From The Epoch Times

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