The administration’s chaotic reversals on Obamacare could deprive millions of coverage.
Meanwhile, the administration’s latest budget, released in mid-March, stands behind legislation known as “Graham-Cassidy,” which was pushed by Republicans in 2017 but never won enough support to be brought to a vote.
The Trojan horse of health care reform, the proposal provides for relatively small initial cuts in federal funding and then huge reductions starting in 2027.
According to a Brookings Institution report, Graham-Cassidy would cost 32 million Americans their health insurance by 2027, just as full repeal would. That’s Donald Trump’s idea of a “beautiful,” “terrific” and “unbelievable” health care plan.
.. The administration’s recent decision to submit a brief in a Texas case asking the court to declare all of Obamacare unconstitutional was well publicized.
Slipping by almost unnoticed was Mr. Trump’s instruction last June to the Justice Department, which was defending the A.C.A., to argue instead that certain key provisions — notably, the requirement that Americans with pre-existing conditions be treated equally — be declared unconstitutional.
A win by Mr. Trump in this case could mean that nearly 20 million Americans would lose insurance, according to the Urban Institute.
The next big change came in 1992 with the nomination and election of Bill Clinton. His moderate platform was similar to his peers’, but his political style was a departure. The concept of a permanent campaign came to the White House. Every move was measured against its short-term political value to the president. The Clinton team launched personal attacks against policy dissenters and against women who brought charges of sexual misconduct against the president. In 1996, Mr. Clinton accused Republican nominee Bob Dole of “trying to destroy Social Security and Medicare” through his support of a bipartisan entitlement-reform effort Mr. Clinton himself had previously praised. By 2001, when Mr. Clinton left the scene, say-anything attack politics had become the normal order of the day in the Democratic Party.
President Obama brought hope of a more tolerant, less deeply partisan politics. But he was surrounded by Clinton alumni who, for the most part, kept on as before. His signature legislation, the Affordable Care Act, was introduced and passed only by Democrats—a sharp contrast to the bipartisan approaches taken by Johnson with his Medicare and Medicaid proposals, and by Ted Kennedy with his Medicare prescription-drug legislation. To pass ObamaCare, the White House and its allies launched a full-court press against all House Democrats, including moderates with doubts about its cost and coverage. The legislation passed narrowly, but 63 House Democrats lost their seats in the 2010 midterm elections. That left the body sharply divided between Republican and Democratic partisans, stalling the administration’s legislative agenda for the remaining six years of Mr. Obama’s presidency.
What has Pelosi achieved?
First, as House minority leader, she played a crucial role in turning back George W. Bush’s attempt to privatize Social Security.
.. Then she was the key figure, arguably even more crucial than President Barack Obama, in passing the Affordable Care Act, which produced a spectacular fall in the number of uninsured Americans and has proved surprisingly robust even in the face of Trumpian sabotage.
She helped enact financial reform, which has turned out to be more vulnerable to being undermined, but still helped stabilize the economy and protected many Americans from fraud.
Pelosi also helped pass the Obama stimulus plan, which economists overwhelmingly agree mitigated job losses from the financial crisis, as well as playing a role in laying the foundation for a green energy revolution.
.. whenever you hear Republicans claim that Pelosi is some kind of wild-eyed leftist, ask yourself, what’s so radical about protecting retirement income, expanding health care and reining in runaway bankers?
It’s probably also worth noting that Pelosi has been untouched by allegations of personal scandal, which is amazing given the right’s ability to manufacture such allegations out of thin air.