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Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsNever Forget: The ACA IS the GOP healthcare plan
The ACA is based on the rightwing think tank Heritage Foundation's healthcare proposal.
That should be pointed out at every chance.
rurallib
(62,387 posts)its like a dog catching his own leg and trying to chew it off.
drray23
(7,619 posts)it was tainted by the black guy when he got it passed. No need to look for further reasons. That is exactly what these racist mofo are thinking. Had Romney won the election and passed it, it would be the greatest thing since sliced bread.
misanthrope
(7,411 posts)Trump thinks he's Tom Sawyer with a can of whitewash.
emulatorloo
(44,071 posts)This meme needs to die.
The Heritage Plan *Was* the Conservative Alternative to the ACA. It Was Much Worse Than the AHCA.
http://www.lawyersgunsmoneyblog.com/2017/03/heritage-plan-conservative-alternative-aca-much-worse-ahca
Not this again:
Link to tweet
Ah, yes, durr, Obamacare was the Heritage Foundation plan, durr the go-to for anyone who doesnt know what theyre talking about and for whatever reason wants to imagine American conservatism as being much better and/or American liberalism as being much worse than they are. Anyway, this is an absolutely absurd characterization. To summarize, the Heritage Plan was to end Medicare and replace it with a voucher system, end Medicaid and phase out employer-based insurance, and require everyone not eligible to Medicare to purchase largely de-regulated catastrophic insurance with ungenerous subsidies. It is, in other words, radically different than the ACA. Saying the ACA is based on the Heritage Plan is like saying George W. Bushs plan to privitize Social Security was based on FDRs Social Security legislation. The only thing they have in common is the requirement to carry insurance, a banal recognition that insurance requires a broad pool to work that was hardly invented at Heritage.
As you know, at this point people strongly committed to the utterly false claim that the ACA was the Republican plan invented by the Heritage Foundation will generally add the second and third cards to the 3-card monte. First you compare the ACA to the decoy plan introduced by a senator from Rhode Island who favored a national handgun ban in 1993. The obvious problems with this comparison are that 1)the plans arent that similar (no Medicaid expansion) and 2)you have to be the most gullible rube in the world to the think federal Republicans have ever favored anything like the Chafee plan and would ever enact anything like it. The typical next move is to compare the ACA to the plan enacted by veto-proof majorities of Massachusetts Democrats, which has the advantage of being a reasonable policy comparison but the fatal disadvantage of being completely irrelevant to national Republican health care policy preferences. (If only the Republican governor who signed the legislation after multiple overridden vetoes had been the Republican candidate for president so we could have seen if he would maintain support for this health care policy as a national Republican!)
Another variant of this argument is to say that Trumpcare failed because Obamacare was the Republican/conservative alternative for universal coverage. But this is also completely false. The Heritage Plan is the conservative alternative to the ACA. If you combine Paul Ryans Medicare and Medicaid proposals with Trumpcare as amended by the Freedom Caucus, thats basically the Heritage Plan with a clumsier and less effective mandate. Heres a handy guide for people who are for whatever reason delusional about the actually existing American political spectrum:
The conservative alternative to the ACA is to privatize Medicare while increasing the eligibility age, while ending Medicaid and employer-based insurance and replacing them with a de-regulated private market much less generously subsidized than the ACA.
The center-right alternative is to accept the political reality of mostly preserving Medicare while block granting Medicaid and gutting the private insurance market.
The Affordable Care Act, a plan to substantially expand Medicaid while increasing public expenditures and regulation on the private market is a compromise between the left and moderate wings of the Democratic Party that Republicans have always vociferously opposed.
Trumpcare didnt fail because the ACA was the conservative alternative. It failed because only a politically suicidal party would enact any conservative alternative to the ACA. The ACA survived because its much harder to take away benefits tan it is to stop them from going into effect but Republicans would always have done the latter if the had the power to do so. Its really not complicated. And pretending otherwise is both false and politically worse-than-useless.
Maraya1969
(22,464 posts)emulatorloo
(44,071 posts)Highlights the main points of the article. Hope so!
Maraya1969
(22,464 posts)even remember what the GOP is calling their bill.
I just can't remember the damn Letters of things. I remember learning Affordable Health Care. Have I been saying it wrong all along?
emulatorloo
(44,071 posts)Trumpcare is AHCA. American Health Care Act of 2017
Yes all those letters get confusing!
Maraya1969
(22,464 posts)stop their repeal efforts
emulatorloo
(44,071 posts)BigmanPigman
(51,568 posts)unblock
(52,126 posts)more accurate would be to say that the aca was a mandate-and-competitive-market-based alternative to hillarycare and single-payer, and had those elements in common with the heritage plan.
from there the aca and the heritage plan diverged, with the aca expanding medicaid and imposing progressive taxes.
yes, the heritage plan was more conservative. but also, the aca certainly took some ideas from the heritage foundation plan.
it could also be noted that the heritage foundation plan was a political non-starter due precisely to the more conservative elements.
it needed some liberal tinkering to make it politically viable.
emulatorloo
(44,071 posts)the Heritage plan. Or that the Heritage plan is the conservative alternative plan to the ACA.
Claiming ACA is the Heritage plan continues to be bullshit.
As the blogpost I linked to noted, ACA was a compromise between moderate and left Democrats. It is not the "Republican plan" as OP asserts.
unblock
(52,126 posts)First, it contained many provisions added in exchange for promised support from some republicans, even though republicans later decided to oppose it as a bloc.
Second, and more important, it had buy-in from the insurance lobby, a critical element as this was the group that killed clinton's efforts in the '90s.
In any event, while it's certainly true that there are difference between the heritage plan and the aca, it's largely a distinction without a political difference. Obama successfully triangulated by using elements of the heritage foundation plan in the aca, and republicans made a long-term political mistake by railing against the mandate. This was an effective attack against the aca, but it also eliminated their ability to advance the heritage foundation plan because it included the mandate as well.
This is why republicans are unable to come up with a solution. It's not that the heritage foundation plan and the aca are identical; it's that they railed against one key element they have in common.
emulatorloo
(44,071 posts)And as you know, much was done to get that fucking DINo Lieberman to vote for it. elsewise it would not have passed
Please refrain from calling me 'disengenious' for pushing back
against this idiotic zombie meme that ACA was the 'Republican plan'. It wasn't.
Have never called you 'disingenuous' because you aren't.
So please don't try that tactic w me.
Thanks in advance.
unblock
(52,126 posts)as i said, in the end, zero republicans voted for it, but they certainly had a hand in the negotiations and got many provisions in that were intended to get their vote. had democrats been more politically ruthless, they would have removed all those provisions when it became clear that those republicans were reneging on their promises, but obama didn't want the law itself to be so partisan even if the vote for it was.
here's a link to politifact statement that aca included "hundreds" of republican amendments. they rate it half true. the point isn't the number. the point is that republicans did have a say early on, and some of their views made it in.
in fact, if it had just been a matter of negotiating within the democratic party, there certainly would have been a public option, at a minimum.
http://www.politifact.com/truth-o-meter/statements/2017/mar/16/luis-gutierrez/rep-gutierrez-says-hundreds-republican-amendments-/
emulatorloo
(44,071 posts)zipplewrath
(16,646 posts)He personally stated that the ACA and what the GOP proposed to oppose Hillarycare were "not all that different". He may have been over stating it for political reasons, but I suspect you are UNDER representing the similarities.
emulatorloo
(44,071 posts)"I suspect you are UNDER representing the similarities."
Oh how forceful and aggressive of you!
How about you show me the parts of ACA that ended Medicare and replaced it with a voucher system.
Or the parts of the ACA that ended Medicaid.
Or the parts that phased out employer-based insurance, and made people purchase de-regulated insurance with shit subsidies.
You wont be able to show those parts of the ACA, Mr. Zipplewrath.. because NONE of that is in Obamacare.
That was the heritage foundation plan.
zipplewrath
(16,646 posts)I realize that the features that you consider definitive aren't in the plan. And the GOP plan that Obama made reference wasn't specifically the Heritage Plan. However, you can easily find alot of discussion, even among conservatives, just how much the Heritage plan and the ACA have in common. It was even discussed during arguments before the Supreme Court.
emulatorloo
(44,071 posts)"However, you can easily find alot of discussion, even among conservatives, just how much the Heritage plan and the ACA have in common."
As you know from your life experience "Features in common" does not equal "the same."
A simplistic meme like "The ACA is The Republican Plan" is false as it ignores the SIGNIFICANT DIFFERENCES. (Medicaid, Medicare, Employer-mandate, etc). A half-truth isn't true, it is a lie.
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"So Obama was misleading the American people?" Nope, he was shitting on and ridiculing Republicans.
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Have a great weekend.
zipplewrath
(16,646 posts)Not sure he'd describe it that way. I think he saw far more similarities than you do. Furthermore, I think you're arguing semantics and hyperbole instead of the actual point, which is that the ACA incorporated alot of "conservative" ideas into it. The fundamental feature of mandated coverage (which Candidate Obama originally opposed) traces directly to the Heritage Foundation plan.
It should also be noted that during the debate over the ACA, the Heritage Foundation specifically instructed their staff not to comment upon the legislation because if it were known the amount of features it contained of which they had advocated in the past, that it might not pass.
ThoughtCriminal
(14,046 posts)The good parts are the elements that Democrats added. They had to figure out how to keep everything that is actually wrong with it and dump the parts that actually make it worth saving.
roamer65
(36,744 posts)Wounded Bear
(58,604 posts)Tracing the lineage of the ACA is fairly straightforward. Heritage came up with their idea as an alternative to Hillarycare, and MA took it and adapted it with some progressive features under Romney. Romneycare begat Obamacare.
Bradical79
(4,490 posts)And actually not make things worse for millions.
Demsrule86
(68,471 posts)Thirdly, do not start single payer stuff at this minute...this will be used by the GOP to attack Democrats and the ACA...McConnell did it yesterday as did others. Fix the ACA and allow a public option for those in areas where there is little coverage. Also, strengthen rural hospitals. States will start joining the medicaid expansion because they have no choice.
zipplewrath
(16,646 posts)I actually think one could gets some GOP support for "fixes" to the ACA that have the feature of reducing health CARE costs, and therefor reducing pressure on premiums.