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It’s laughable watching President Trump whine endlessly this afternoon about how his health care bill didn’t get any Democratic votes. Not one! The Democrats just wouldn’t work with him to craft a bill! Boy, that sure makes things tough.
Needless to say, neither Trump nor Paul Ryan ever tried to bring Democrats into this bill. It was purely a Republican plan from the start, and neither of them wanted any Democratic input. That’s just the opposite of Obamacare, where Democrats tried mightily to get Republican buy-in, and still ended up getting no Republican votes in the end. Not one!
Anyway, Trump’s plan now is to wait for Obamacare to implode and then Democrats will have to do a deal. I guess it hasn’t occurred to him that he could do a deal with Democrats right now if he were really serious about fixing health care. But no. Trump says he intends to move on to tax reform, because that’s something he actually cares about.
In the meantime, it’s very unclear what will happen to Obamacare. With so much uncertainty surrounding it, it’s hard to say how insurance companies will respond. They might give up and pull out. Or they might stick it out and wait. It’s pretty close to a profitable business now, so there’s probably no urgency one way or the other for most of them. And anyway, somewhere there’s an equilibrium. Having only one insurer in a particular county might be bad for residents of that county, but it’s great for the insurer: they can raise their prices with no worries. There are no competitors to steal their business, and the federal subsidies mean that customers on the exchanges won’t see much of a change even if prices go up. In places where they have these mini-monopolies, Obamacare should be a nice money spinner.
April will be a key month, as insurers begin to announce their plans for 2018. We’ll see what happens.
POSTSCRIPT: It was also amusing to hear Trump say that he learned a lot during this process about “arcane” procedures in the House and Senate. Like what? Filibusters? Having to persuade people to vote for your bill? The fact that the opposition party isn’t going to give you any votes for a bill that destroys one of their signature achievements? Reconciliation and the Byrd rule? I believe him when he says this was all new to him, which means he never had the slightest clue what was in this bill or how it was going to pass.