Medicaid Cuts

If enacted, the Congressional Budget Office estimates over the next 10 years the American Health Care Act will cut $880 billion in federal funds from Medicaid. These cuts would leave up to 24 million people without health insurance over the same time period.

Under the Affordable Care Act, Medicaid expanded coverage to around 11 million people.

Mr. Trump ran promising repeal and replace the Affordable Car Act with something better. He also promised not to make cuts to Medicaid or Social Security. The American Health Care Act breaks both these promises.

Trumpcare Scare

Monday, the non-partisan Congressional Budget Office reported that repealing and replacing the Affordable Care Act with the current House Republican plan will result in 14 million Americans losing insurance coverage this year. From there, the numbers just get worse. The estimate projects 21 million Americans will lack insurance in 2020, and 24 million will go without in 2026.

The new House Republican health plan, titled the American Health Care Act, is really just a tax bill. Among other things, it eliminates tax penalties on people who chose not to purchase insurance. It also eliminates taxes currently used to pay for health care subsidies. These cuts are essentially a ten year $600 billion tax cut benefiting the wealthiest Americans.

Mr. Trump campaigned against the Affordable Care Act in 2016. He made a promise saying those who currently had insurance wouldn’t lose it. Mr. Trump made a lot of bullshit promises but, when it comes to health care, people need results. And so far the results are far from pretty.

All politics aside, voting to toss 14 million disadvantaged people off insurance is never good policy. And doing so while dishing out tax breaks for America’s wealthiest is akin to political suicide. I don’t care how favorable 2018 looks for Republicans, the American Health Care Act will obliterate any advantages.

In it’s current form, the American Health Care Act, stands little chance of passing in the Senate. Republicans will eventually pass something. I predict some form of Obamacare-Lite relying on tax write offs that still leave million under-insured. The numbers will be low enough to claim victory and assuage upper-middle class guilt, but will still give huge tax breaks to the ultra-rich and guarantees healthy bottom lines for insurance companies.

Still, the real issue being ignored is governance. Aside from tax cuts, repealing abortion, and deciding where people pee, Republicans believe the free market sorts everything out. They believe these markets yield only positive results,  which is why they despise the social welfare system. And to some extent, they are right.

Capitalism/the free market does reward winners. These market winners get housing, healthcare, and excellent educational opportunities. Markets winners also enjoy access to legislators, who they contribute to/pay to advocate for them. Market winners have laws enacted that ensure they (and their children) remain winners.

And the losers get the leftovers.

Here We Are

To be honest, I had very low expectations for the Trump Administration. I have never met Mr. Trump or watched his television show. I never ate Trump steaks. I never sipped Trump Water. I never drowned my sorrows with Trump Vodka. I scored average on my ACTs, so I didn’t attend Trump University. Still, my expectations were pathetically low.

Despite my complete lack of knowledge about Mr. Trump and his brand, I still thought he was a fucker. I don’t know why. Maybe it was his too perfect hair. Maybe his bombastic attitude. It could be the inherent class envy the poor feels for the rich. Whatever the reason, Mr. Trump always popped high on the fucker scale.

So watching Trump’s three ring shit show pass itself off as a presidential campaign has been particularly annoying. To be fair, there was the scab picking painful satisfaction of watching Mr. Trump crush establishment pricks like Marco Rubio and Ted Cruz. But that was tempered with the frustration of seeing John Kasich try to establish himself as the adult in the room. But honestly, I believed Mr. Trump to be the least repulsive Republican choice.

Then came what passed for a National Presidential Campaign, Mr. Trump spent an inordinate amount of time defending his pussy grabbing youth indiscretions. Nothing of substance was discussed. People bitched about building a wall to keep job stealing Syrians out of Maine or some shit, and there was plenty of Alt Right free trade bashing NAZI punks yelling Trump, Trump, TRUMP!.

Still, there was balance. When Mrs. Clinton wasn’t explaining her emails or Benghazi, she promised a post sexist, post racist, fuck your glass ceiling you’ve come a long way baby rainbow coalition New World Order. A world where color and gender didn’t matter. Hipsters could finally sip fair trade coffee with like minded trust funders of color. And everyone could make room for more coffee by pissing in gender neutral restrooms.

Then the election came. And just like that, the dream of transgender drinking fountains gave way to Breitbart in the White House. The streets were still damp with liberal tears when Wall Street insiders began visiting Trump Towers. Even Mitt “Theon Greyjoy” Romney got in on the action. And so here we are.

I may try that Trump Vodka after all.