President-elect Donald J. Trump said this weekend that he was nearly ready to unveil a plan to replace President Obama’s Affordable Care Act with “insurance for everybody.”That's beginning to smell a lot like the ACA, only with a different nameplate. How he can get to that without a form of single-payer is going to be interesting. The ACA was a rehash of past GOP proposals, from what they wanted in 1993 to RomneyCare, but because it came from a Democrat, they automatically hated it.*
Mr. Trump, in an interview Saturday evening with The Washington Post, said that health care offered under his plan would come “in a much simplified form — much less expensive and much better.”
“We’re going to have insurance for everybody,” Mr. Trump said. “There was a philosophy in some circles that if you can’t pay for it, you don’t get it. That’s not going to happen with us.”
The options for what Trump wants are limited. Private insurance for all is the ACA. Single-payer is Medicare for all. There can be a mixture, maybe, with means-tested co-pays.
Trump also signaled that he is aligned with one of the things that Republicans and the Big Pharma lobby have despised: Directly negotiating on drug prices:
He told The Post that he would force drug manufacturers to negotiate better prices with Medicaid and Medicare, the government-run health programs.Interesting.
Trump is very good at running his mouth, so far. On Friday afternoon, he's going to have to start delivering on his promises.
If he can deliver on this, I will cheer him on. But I don't see how he can, as the GOP is welded to the idea that "gummint health insurance is tyranny". Trump will have to make the case that his plan is better, then he'll have to persuade enough Republicans to peel away from the Teabaggers and then get enough Democrats to sign on to pass his bills.
* Obama Derangement Syndrome.