Did Republicans learn nothing in the last eight years?
From making unrealistic promises to cutting back-room deals, Republicans are ignoring many of the lessons they should have taken from the Democrats’ experience selling a complicated health-care plan to the public.
“If you like your plan, you can keep your plan.”
That one concrete pledge repeated dozens of times by former President Barack Obama—and many other Democrats at the time—became an albatross for his party once the Affordable Care Act took effect in 2013. They had made the commitment to try to sell the public on the plan and get it passed initially, having seen how the fear of change illustrated in ads by the fictional couple “Harry and Louise” torpedoed the Clinton health-care bill 20 years earlier. But although Obamacare did not directly force people off their insurance, many had to change their plans because insurers stopped selling due to the new coverage requirements under the law. That broken promise helped the GOP expand its House majority and retake the Senate in the 2014 elections.
Republicans, however, have ignored that lesson repeatedly in 2017, making all kinds of assurances about their health-care bill that will be all but impossible to keep. Most egregiously, President Trump told The Washington Post in January that his Obamacare replacement plan would provide “insurance for everybody.” In fact, Republicans made no attempt at universal coverage; their bill cuts Medicaid deeply, and the Congressional Budget Office projected that it would result in 24 million fewer people having insurance after a decade.
In recent days, House Republicans like Scalise have made claims about people with pre-existing conditions that are unlikely to stand up over time. Like Democrats before them, GOP lawmakers may genuinely want their assurances to bear out, but they are putting themselves at political risk by not being forthright about the tradeoffs involved in health policy and the potential consequences of a sweeping new law. If the American Health Care Act never gets enacted, it’ll be a moot point. But if it does, Republicans better watch out.
Read the Bill
Or at least don’t admit publicly that you didn’t.
After Democrats enacted the Affordable Care Act in 2010, Republicans succeeded in making a couple of key quotes infamous as they rallied opposition to the law. Then-House Speaker Nancy Pelosi uttered one of them just two weeks before final passage: “We have to pass the bill,” she said during a speech, “so that you can find out what’s in it.”
No matter the context, the comment perfectly encapsulated the GOP’s criticism of the bill—that at nearly 1,000 pages, it was too long for members of Congress to read and understand, much less the general public, and that Democrats were intent on jamming it into law before people found out what it would actually do. (Just watch then-House Minority Leader John Boehner make the case right before the final vote.)