[The Congressional Budget Office report on Trumpcare is out, and it’s
devastating: 14 million people losing insurance in the first year, 24
million over time, with premiums soaring for older, lower-income
Americans — in many cases, the very people who went strongly for
President Trump. The C.B.O. thinks it would reduce the deficit, but
only marginally, around $30 billion a year in a $19 trillion economy.]

https://www.nytimes.com/2017/03/13/opinion/trumpcare-vs-obamacare-apocalypse-foretold.html?rref=collection%2Fcolumn%2Fpaul-krugman&action=click&contentCollection=opinion%C2%AEion=stream&module=stream_unit&version=latest&contentPlacement=1&pgtype=collection&_r=1

Trumpcare vs. Obamacare: Apocalypse Foretold

Paul Krugman
MARCH 13, 2017

President Trump meeting with cabinet members on Monday, the same day
the Congressional Budget Office released its report on Trumpcare.
Credit Stephen Crowley/The New York Times

***The Congressional Budget Office report on Trumpcare is out, and
it’s devastating: 14 million people losing insurance in the first
year, 24 million over time, with premiums soaring for older,
lower-income Americans — in many cases, the very people who went
strongly for President Trump. The C.B.O. thinks it would reduce the
deficit, but only marginally, around $30 billion a year in a $19
trillion economy.*** [Emphasis added.]

Let me offer one assertion and ask two questions.

The assertion is that something like this was to be expected. The
C.B.O. came in even worse on coverage than most predicted, but it was
obvious that the news would be terrible because that’s what the logic
of the situation told us. Obamacare imposes a mandate to induce
healthy people to sign up, offers means-tested subsidies to make
insurance affordable and expands Medicaid to take care of people with
really low incomes. Trumpcare eliminates the mandate, slashes
subsidies overall and redirects them to those who don’t need them and
sharply cuts Medicaid. Of course that leads to a huge drop in
coverage.

Or to put it differently, Obamacare is actually an intelligently
designed system, and Republican claims that they could do much better
even while slashing funding so they could cut taxes on the rich were
always obvious nonsense. Trumpcare is a slapdash, incompetent piece of
legislation; but even a much more competent set of people couldn’t
have done better given the constraints of Republican Party ideology.

Now my questions: First, can this legislation still go through? I have
learned never to underestimate the cravenness of Republican
“moderates,” who may posture to the center but almost always cave to
the hard right when it matters. But even so, it’s hard to imagine this
act of cruelty getting 50 senators. And if it can’t pass the Senate,
won’t right-wing purists in the House decide to advertise their purity
by voting against a bill that still falls short of free-market ideals
rather than vote for Obamacare 0.5?

Second, what were Republican leaders thinking? Something like this
C.B.O. score was a foregone conclusion; would it really have mattered
much if it were 15 million losing insurance, not 24 million? How was
this supposed to work out politically?

Again, I wouldn’t count out the possibility that this law will be
rammed through regardless, with budget analyses relegated to the
category of fake news. Democrats might even want to hope that this
happens, so that there is no question about who to blame if insurance
collapses. But the lemming-like way Republicans rushed into this
disaster is still amazing.

Read Paul Krugman’s blog, The Conscience of a Liberal, and follow him
on Twitter.

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Peace Is Doable

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