The GOP’s New Pre-Existing Conditions Promise Is A Fraud

But it’s what the bill doesn’t say that makes the above mostly meaningless.

Yes, insurance companies wouldn’t be allowed to refuse to offer coverage to someone who, for example, has a history of cancer or is pregnant. But they could sell someone a policy that doesn’t cover cancer treatments or the birth of a child.

Sure, premiums wouldn’t be allowed to vary based on health status or pre-existing conditions. But prices could dramatically vary based on age, gender, occupation and other factors, including hobbies, in ways that are functionally the same as basing them on medical histories. Insurance companies have a lot of experience figuring out that stuff.

 There’s no need to speculate about how insurance companies would respond to this, because this is how the system worked for people who bought individual policies before the Affordable Care Act. Insurers don’t make money paying claims; they make money by avoiding claims or refusing the pay them. If they’re allowed to keep the most expensive people and treatments off their books, they will.

Before the Affordable Care Act, it already was illegal for health insurance companies to reject customers with pre-existing conditions or charge them more based on their medical histories if they got coverage through a group plan, like from an employer. And insurers and employers are limited in how much they could refuse to pay for treatments related to a pre-existing condition for group policyholders. The Affordable Care Act extended similar protections to people who buy their health insurance directly or via the exchanges the law created.

.. With Obamacare repeal off the legislative agenda ― for now, at least ― why would these senators write legislation to solve a problem that doesn’t exist? Because their party is the middle of unsolving it.

.. The administration, however, doesn’t want to throw out the whole law ― just the parts that protect people with pre-existing conditions.

The Great Distractor

Donald Trump’s ‘look over there’ media strategy is a trap that keeps Democrats from focusing public attention on his bad policies.

We didn’t hear much about the administration’s secret plan to bypass Congress (and common sense) to give a giant tax break to Wall Street investors, a possible violation of the constitution and a betrayal of the president’s promises to stand up for the little guy. It’s the result of what I call the “Trump Trap.”

  • He pledged to clean up the D.C. swamp, but he made it swampier.
  • He said he would make health insurance better, but he actually asked a judge to strip it away from people with serious diseases like cancer and diabetes.
  • His tax cuts ballooned C.E.O. salaries and stock buybacks, but real wages are still frozen

.. But you wouldn’t know it from watching the news. That’s because his unnecessary insults and controversies create a constellation of outrages that deflect accountability for his actions.

.. A person you probably don’t remember is Cheryl Lankford, who also spoke at the convention. She lost her husband, Army Command Sgt. Maj. Jonathan Lankford, to a heart attack while he was serving in Iraq. Left alone to raise their son, Ms. Lankford used her survivor benefits to enroll in Trump University, hoping Mr. Trump’s advice could jump start her career. After paying more than $30,000 in tuition, she got no training. Like so many Americans, she thought Mr. Trump could improve her economic future, but he swindled her and thousands of others. Now the swindle is happening on an epic scale.

.. we tried to get out of the way of the negative coverage of Mr. Trump and his outrageous comments about Mr. Khan.

But the result was that people heard his message, not ours. So much so that after the election, some people thought Mrs. Clinton never talked about people’s economic lives. But she did. It just went into the black hole of the Trump Trap.

.. Mr. Trump never attacked Cheryl Lankford or the other people suing Trump University. Instead, he disparaged the Latino judge in the case, so we spent a week talking about how racist he is, not about how he had cheated working people.

.. Mr. Trump will say and do things that demand a response from anyone who values decency and morality. The result is that he decides what gets attention — and he’s not held accountable.

.. Third, we Democrats have to pick fights that highlight Mr. Trump’s malfeasance. When the president seeks to take away health insurance from seniors or people with cancer, we can’t let that go unnoticed.

.. Candidates: Beware the Trump Trap. The president has promised to spend a majority of his time campaigning this fall. He will call you names. He will come at you with outrage after outrage. It will be very tempting to wear this as a badge of honor to reap the rewards of social media attention and campaign donations. You will think he is drowning in backlash. But

Candidates: Beware the Trump Trap. The president has promised to spend a majority of his time campaigning this fall. He will call you names. He will come at you with outrage after outrage. It will be very tempting to wear this as a badge of honor to reap the rewards of social media attention and campaign donations. You will think he is drowning in backlash. But he will really just be making the debate about anything other than his own failings or the lives of the voters you wish to represent. Your vision and motivations will be obscured and vulnerable to subterfuge.

Before you give Mr. Trump more rope, make sure the debate is on your terms, not his.

Trump Gets Chance to Influence American Life for Generations Through Supreme Court Pick

As the first Republican president to get his judicial nominees confirmed by a simple majority vote, thanks to the abolition of the Senate filibuster rule, Mr. Trump has already broken records in appointing young and highly conservative appellate judges. Now, Mr. Trump can create a new majority bloc on the Supreme Court — one that is far more consistently conservative, and one that can impose its influence over American life long after his presidency ends on issues as diverse as the environment and labor or abortion and civil rights.

If Mr. Trump secures that prospect, he will fulfill the deal that he struck during the 2016 campaign with traditional and movement conservatives who were skeptical of his politics and hesitant about supporting his candidacy. They feared he would pick an idiosyncratic nominee, like a celebrity lawyer he saw on television, rather than an authentic conservative.

But Mr. Trump shored up Republican turnout in the election by promising to select Supreme Court nominations from a list of conservative judges. It was shaped by his top legal adviser, Donald F. McGahn II, now the White House counsel, who worked with advisers like Leonard Leo, the executive director of the Federalist Society, the conservative legal movement network.

.. joking shorthand for what traditional Republicans got in return: “But Gorsuch.” In November, the White House quietly issued a revised version of the list in case another vacancy arose.

.. “The danger is that the Supreme Court, at the behest of this president, will favor the wealthy and powerful and extremist groups at the expense of everyone else — not just for President Trump’s term, but for decades to come,” she said.

.. The prospects for the nominee’s confirmation will most likely come down to how a handful of moderate senators will vote. Senators Susan Collins of Maine and Lisa Murkowski of Alaska, both Republicans who support abortion rights, are considered key votes in a narrowly divided Senate, as are Senators Joe Donnelly of Indiana, Heidi Heitkamp of North Dakota and Joe Manchin III of West Virginia, all Democrats up for re-election in states that Mr. Trump won.

.. the Trump administration’s recent indication that it will try to use the courts to dismantle the law’s popular protections for people with pre-existing conditions.

.. “People get that this is about undoing precedent and advancing the interests of corporations and the wealthy and privileged, not all of us as Americans.”

.. Adding to the court a pick from Mr. Trump’s list creates the “prospect of a conservative majority over a long period of time,” even if Mr. Trump loses to a Democrat in 2020 who could restock the court’s liberal minority

.. he was optimistic that the fight over the new vacancy would help Republicans maintain control of the Senate in the midterm elections by keeping the courts as a primary topic of political conversation in the coming months.

.. Mr. Trump to create an even more enduring achievement if a liberal justice’s seat opened, perhaps for health reasons, in the second half of his term

 

Trump: Trying to Remake America in His Own Image

 his Justice Department quietly indicated last week that it would not defend major parts of the Affordable Care Act that pro-Trump forces, having failed to kill it in Congress, are now trying to kill through lower courts. And this includes the requirement that insurance companies guarantee access to coverage without bias against people with pre-existing medical conditions.

The implications? Senator Susan Collins, the Maine Republican who voted against repealing Obamacare, put it best: The decision not to defend key provisions of Obamacare — in a suit filed by Texas’ attorney general and 19 other states — “creates further uncertainty that could ultimately result in higher costs for millions of Americans and undermine essential protections for people with pre-existing conditions, such as asthma, cancer, heart disease, arthritis and diabetes.”

.. Trump just picked a fight with our closest NATO allies, including Canada’s Prime Minister Justin Trudeau — who Trump’s team said “stabbed us in the back” after Trudeau’s mild-mannered defense of his own country’s trade policy on dairy imports. This after Trump has had nary a word of censure for Russia’s President Vladimir Putin, who stabbed us in the chest with the biggest cyberattack on our democracy ever.

.. But in the case of climate change — where an overwhelming majority of scientists in Trump’s own government say human-induced climate change is 100 percent real and we need to join with the other major industrial powers in the Paris climate agreement to reduce carbon emissions to avoid the unmanageable aspects of climate change and manage the unavoidable ones — Trump chose to scrap Paris, throw away any insurance and move to revive coal... Sure, if climate change turns out to be a hoax, it won’t matter that we have a president who doesn’t believe in science. And sure, if we get consecutive years of exceptionally high growth, and no recession, maybe we’ll grow out of the massive increase in the national debt Trump took on with his corporate tax cuts.

Maybe China, Canada and our European allies will indeed bend to our will on trade and it really will be easy to win multiple trade wars at once. Maybe if another 9/11, or global recession like 2008, never materializes we won’t need allies and we really can cozy up to Putin. And, sure, if health care costs miraculously drop on their own, it won’t matter that Trump destroyed Obamacare without putting anything in its place, let alone something better and cheaper, as he vowed.