Thursday, March 29, 2012

The Rock Biter's Guide To HCR

"So," they said.  "We don't think SCOTUS will repeal the entire health care reform law, or gut the law and effectively end it, because that would put all the pressure on the GOP to replace it with something.  There would be a hole in one-sixth of the US economy.  They'd have do something about it."

And as anyone who is familiar with The Neverending Story can tell you, the GOP is all about embracing the Nothing as far as health care reform (and with it, government itself).  As the Rock Biter said when asked what was destroying his peoples' lands and what was left as a result:

A hole would be something. No, it was...Nothing.

Steve Benen points out that the GOP is perfectly okay with the HCR Nothing taking over. Repeal and Replace is now just Repeal and The Nothing.

When the debate over health care reform got underway in earnest in 2009, Frank Luntz and other GOP pollsters/strategists warned the party that Americans expected improvements to the dysfunctional system, and Republicans couldn't simply say "no" to everything.

Three years later, that's effectively where the party has ended up: wanting to go back to the mess "Obamacare" is cleaning up.

But what about McConnell's main idea? It's one of the GOP's favorite talking points: we don't need real reform; we just need to let consumers buy across state lines. President Obama and the Affordable Care Act allow this, but set minimum standards that states must abide by. McConnell and his party want to go further, removing, or at least severely weakening, those standards.

This is generally called the "race to the bottom." Under McConnell's vision, state policymakers would tell insurers that if they were to set up shop in their state the rules would be written in the industry's favor. The industry would go with the state that offered the sweetest deal -- which is to say, the most lax oversight with the fewest restrictions -- and before long, it would be consumers' only choice. Why? Because every insurer would move to that state, leaving Americans with no other coverage to buy.

That's exactly what happened with the credit card industry, and it's a model to be avoided, not followed.

But tossing us all into The Nothing is what the GOP wants. They "want to give the power to the states" because it's FREEDOM and junk, and instead we'll get the same awful abuses that the credit card industry has been perpetrating on consumers for years, only far worse because this time it will involve health insurance and health care itself. The cheapest, meanest policies that cover the least in health care and have massive deductibles will be the only ones left for the vast majority of Americans and the insurance industry will pocket the difference.  Can't afford it?  There's Nothing you can do about it.  Keen observers will note that the Nothing applies to any social government functions:  Medicare, Medicaid, Social Security and retirement, environmental protections, education, food safety, financial products, everything.  You can't provide it yourself because you can't afford it?  You get Nothing.

So no, I don't believe for a second that the GOP will have to replace HCR with something. That would be something, after all. What they want is Nothing.

And the folks that are expecting single payer to rise from the ashes should HCR get mauled?  With a GOP House?  No.  the rocks must be delicious in your world, but single payer ain't happening until there's a seismic shift in the red/blue ratio.  Unless you think this particular SCOTUS is going to rewrite the universe and declare that Congress has to pass a single payer law, in which case the rocks are delicious in your world and they're made of 100% unicorn poop.

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