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It has been 72 months since the Affordable Health Care Act was passed into law. Since that time, we have learned what we now refer to as Obama Care is ineffective on the affordable part but does provide the health care part to many millions as promised.

Baby Bully Trump vowed to “repeal and replace Obamacare” upon taking office. In my view, Trump did his best to get some movement, but was blindsided by a fractured Republican party.

The Republicans, who characterized Obamacare as more poisonous to humanity than cyanide, voted dozens of times to repeal it. For 72 months they have been coming up with a better plan, or so they told us. But today as you read this, new legislation came and went with a whimper and Obamacare is still the law of the land.

What comes to mind about the first failed attempt to replace and repeal Obamacare is that there seems to be three Republican parties.

Yes- three.

The Tea Party loyal, libertarianesque, Freedom Caucus wants to remove the basic medical coverage, emergency room fee reimbursements, prescription drug discounts, mental health coverage, and mandatory enrollment components from any national medical plan. Of course, this simply means everyone for himself or herself. The government, under their plan, should walk away from regulatory control, cost reduction, and anything useful regarding health care.

The moderate Republicans, fiscally conservative but somewhat more socially conciliatory, are lead by the Crystal Eyed Speaker Paul Ryan. The moderates take a more rational approach and were trying to keep the valuable elements of Obamacare. But they could not find a way to reduce costs without additional government involvement, and so they were at an impasse with the Freedom Caucus and with themselves.

The Trump camp, whom I call the Bully Republicans, seem pragmatic and driven for instant and immediate change. They don’t seem to mind spending a ton of money for defending and protecting the nation as a whole on things like on the “The Wall” and our military. But Trump and the Bully Republicans can’t seem to bring themselves to spend on protecting and caring for actual people.

Needless to say, it takes a united political effort to create any real change. And now we essentially have four parties.

To make it fair, perhaps the Dems should undergo political mitosis and separate into progressives, ala Clinton, liberals under Sanders, and labor run by unions. That would even up the game and make government a bit more exciting.

Two large powers always vying for control is never going to work. Neither side will cooperate with the other except for the first 30 days after a national tragedy.

Another observation we can make from this failure to repeal and replace Obamacare is the fiscal versus service dilemma Republicans face.

Lowering our national debt means significantly cutting valuable programs such as national defense, Medicare, Social Security, the intelligence services, and so on. That is why even under Trump, no real national debt relief is possible: Congress does not have the heart to make unpopular moves and lose elections in order to save significant amounts of money.

A final item of interest revealed by this failed reform effort is Trump’s attempt to power his way through instead of using persuasion. I am sure he had no idea what was in the proposed health care law, but threatened Republicans to “pass it or else.”

Well, or else has come and gone and the bill still failed.

Trump I believe has just revealed his true nature- all talk and more talk. He bullied, insulted, demeaned, and slandered his way into office and now the shine is turning into rust.

No national health care program will work unless everyone is in it, we share the burden according to ability, and we cut insurance companies out of the middle. We need medical coverage not medical insurance.

We all know the Republicans are bought with insurance company and big business mega-donations. We know they want government out of managing any domestic program. And we know they won’t spend on serving real people.

Under Republican control, an effective health care plan is therefore not possible.

Republicans will in time pass something that is cheap, ineffective, and will provide meaningless coverage. Perhaps their plan will consist of free advice nurse phone calls and a get well card from the Office of the President.

My hope is that Obamacare is tweaked, not repealed, and that moderates from both parties come together to make this happen.

Jonathan Kraut directs private investigations and private security firms, is a published author, Democratic Party activist, and SCV Interfaith Council member. His column reflects his own views and not necessarily those of The Signal or of other organizations.

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  • Brian Baker

    And my hope is that this socialist mess is completely done away with and we return to free-market fundamentals, aided by private philanthropic and charitable efforts, which is the ONLY approach that’s ever going to effectively address the real underlying problems that drive healthcare costs through the roof.

    Government is the problem, not the answer.

  • Gil Mertz

    Trump got exposed for not being a career politician. He thought everyone in Congress would want to fix the imploding disaster called Obamacare, reduce costs for working families, and improve healthcare. Here’s how a career politician would have gotten the bill passed.

    1. Carefully select those to promote it who believe that Americans are basically too stupid to know what they’re doing.

    2. Promise the American people that everyone will be able to see all the proceedings on C-SPAN knowing full well this will never happen.

    3. Promise the American people that they will get to read every word of the new bill on the internet for five days. Yep, another lie.

    4. Promise over and over and over again that the new healthcare law will allow you to keep your own doctor and insurance plan as Obama did at least 37 times. He “guaranteed it!”

    5. Promise American families that they will save an average of $2,500 a year with the new health care bill.

    6. Vote to approve the bill so you can see what’s in it.

    7. Do not allow for any input from the opposition. As Obama’s White House Chief of Staff said at the time, “Republicans can go f*ck themselves.”

    8. Bribe Senators with deals like the “Louisiana Purchase” and “Conrhusker Kickback” worth hundreds of millions of tax dollars to get their votes.

    9. If you don’t have 60 votes in the Senate, just change the rules so it only required a simple majority to get it passed.

    10. If it fails, blame the other party that didn’t vote for it.

    Makes you proud to be a Democrat, huh Jonathan?

  • Gary Bierend

    Kraut: “Needless to say, it takes a united political effort to create any real change.”

    How fortunate for democrats that they all march in lockstep.

  • lois eisenberg

    My hope is that the swamp is cleared of the present administration lead by a man
    who is soooo inadequate in his governing and his reasoning !!
    He didn’t know and doesn’t know the details of the Healthcare Act.

  • lois eisenberg

    “Trump has just revealed his true nature- all talk and more talk. He bullied, insulted, demeaned, and slandered his way into office and now the shine is turning into rust.”
    BINGO !!

  • lois eisenberg

    “White House Takes Aim at Obama Era Climate Policy in New Executive Order”
    New name for the liar – in- chief: Destroyer -in-chief !!
    Get your gas mask ready !!

  • Gil Mertz

    Kraut: “Under Republican control, an effective health care plan is therefore not possible.”

    That’s because it would require finding 8 principled Senators from the Democratic Party who would be willing to put what’s best for American’s over political loyalty. Kraut’s right. That would not be possible.