Republicans Really, Really Don’t Care About Improving Healthcare

Fight disinformation: Sign up for the free Mother Jones Daily newsletter and follow the news that matters.


Ramesh Ponnuru argues today that Republicans are foolish for hanging their hats on the likelihood that Obamacare will die a fiery death in 2014, sweeping them into control of Congress and then, two years later, into the presidency. That won’t happen, he says. Instead, Obamacare will die a slow, painful, lingering death, and Republicans need to get busy now coming up with a replacement healthcare plan for when that happens. But what should it be?

Congressional Republicans have not reached agreement on what should replace Obamacare, let alone a strategy for enacting that replacement. The best option for replacing Obamacare would be a plan that made it possible for almost everyone in the country to purchase catastrophic insurance (and possible for most people to buy insurance that goes beyond catastrophic coverage) by removing the obstacles that government policy puts in the way of that goal.

A plan to do that would involve six key steps….

I’ll spare you the six steps. It’s all the usual stuff—catastrophic coverage, high-risk pools, tax reform, etc.—and I think Paul Waldman’s response pretty much says what needs to be said:

The biggest problem with this kind of appeal is that he will never, ever get anything beyond a tiny number of Republicans to invest any effort in coming up with a health-care plan. That would involve understanding a complex topic, weighing competing values and considerations against one another, and eventually getting behind something that will be something of a compromise. And let me say it again: They. Just. Don’t. Care.

I don’t blame Ponnuru and others for trying to get conservatives to embrace some kind of healthcare plan. I think they’re kind of crazy to think their proposed plan would (a) work, (b) be politically attractive, or (c) be popular, but maybe that’s just my liberal bias talking. What’s not my liberal bias talking, however, is the plain fact that conservatives don’t care about expanding access to healthcare. As Waldman says, the evidence on this score is overwhelming. They opposed Medicare. They opposed CHIP. They’ve opposed every expansion of Medicaid ever. Only brutal strongarm tactics got them to support their own president’s prescription drug plan, despite the sure knowledge that killing it would likely lose them the White House the following year. And of course, they’ve opposed every Democratic attempt to pass universal healthcare legislation in the last century.

During that same period, Republicans have never shown any interest in a plan of their own. They periodically put on a show whenever Democrats propose something that looks like it might have legs, but it’s purely defensive. When the threat goes away, so does the show. This has happened like clockwork for decades.

There is no way—repeat: no way—to broaden access to healthcare without spending more money. That’s something Republicans have never been willing to do, and they’re less willing now than ever. Nor is there any way to tap dance around this. You can try, but you’ll get caught pretty quickly. There’s just no way to square this circle.

AN IMPORTANT UPDATE

We’re falling behind our online fundraising goals and we can’t sustain coming up short on donations month after month. Perhaps you’ve heard? It is impossibly hard in the news business right now, with layoffs intensifying and fancy new startups and funding going kaput.

The crisis facing journalism and democracy isn’t going away anytime soon. And neither is Mother Jones, our readers, or our unique way of doing in-depth reporting that exists to bring about change.

Which is exactly why, despite the challenges we face, we just took a big gulp and joined forces with the Center for Investigative Reporting, a team of ace journalists who create the amazing podcast and public radio show Reveal.

If you can part with even just a few bucks, please help us pick up the pace of donations. We simply can’t afford to keep falling behind on our fundraising targets month after month.

Editor-in-Chief Clara Jeffery said it well to our team recently, and that team 100 percent includes readers like you who make it all possible: “This is a year to prove that we can pull off this merger, grow our audiences and impact, attract more funding and keep growing. More broadly, it’s a year when the very future of both journalism and democracy is on the line. We have to go for every important story, every reader/listener/viewer, and leave it all on the field. I’m very proud of all the hard work that’s gotten us to this moment, and confident that we can meet it.”

Let’s do this. If you can right now, please support Mother Jones and investigative journalism with an urgently needed donation today.

payment methods

AN IMPORTANT UPDATE

We’re falling behind our online fundraising goals and we can’t sustain coming up short on donations month after month. Perhaps you’ve heard? It is impossibly hard in the news business right now, with layoffs intensifying and fancy new startups and funding going kaput.

The crisis facing journalism and democracy isn’t going away anytime soon. And neither is Mother Jones, our readers, or our unique way of doing in-depth reporting that exists to bring about change.

Which is exactly why, despite the challenges we face, we just took a big gulp and joined forces with the Center for Investigative Reporting, a team of ace journalists who create the amazing podcast and public radio show Reveal.

If you can part with even just a few bucks, please help us pick up the pace of donations. We simply can’t afford to keep falling behind on our fundraising targets month after month.

Editor-in-Chief Clara Jeffery said it well to our team recently, and that team 100 percent includes readers like you who make it all possible: “This is a year to prove that we can pull off this merger, grow our audiences and impact, attract more funding and keep growing. More broadly, it’s a year when the very future of both journalism and democracy is on the line. We have to go for every important story, every reader/listener/viewer, and leave it all on the field. I’m very proud of all the hard work that’s gotten us to this moment, and confident that we can meet it.”

Let’s do this. If you can right now, please support Mother Jones and investigative journalism with an urgently needed donation today.

payment methods

We Recommend

Latest

Sign up for our free newsletter

Subscribe to the Mother Jones Daily to have our top stories delivered directly to your inbox.

Get our award-winning magazine

Save big on a full year of investigations, ideas, and insights.

Subscribe

Support our journalism

Help Mother Jones' reporters dig deep with a tax-deductible donation.

Donate