The real irony of Republican pique over Obamacare is the fact that it is a Republican idea. The final form of the Patient Protection and Affordable Care Act (PPACA) relies on Americans to take personal responsibility for their healthcare. It is not a complex formula; buy insurance that covers for the eventualities we all face, be it accident or illness. For those who can’t afford it, costs are subsidized by tax payers according to a sliding income scale.
What conservatives now seem to be saying is that personal responsibility is an onerous burden and purchasing insurance which covers the full cost of accidental injury or illness shouldn’t be necessary. Conservatives think that cheap policies with limited coverage, high deductibles, large co-pays or caps on payments are just fine.
But what happens when these inferior policies fail to pay the cost of care? Then who pays? Currently very close to half of all bankruptcies involve medical costs. That’s no way to run a healthcare system. And conservatives know it, at least knew it. Even before President Clinton proposed a single payer “medicare for all” type of healthcare system, the Heritage Foundation proposed an individual mandate for the purchase of insurance, just like Obamacare. It included a minimum standard of coverage, just like Obamacare. It even included a mandate to insure those with pre-existing conditions, just like Obamacare.
Whether we’re talking about Romneycare, Obamacare, or the Heritage Foundation policy, they all keep the private for profit insurance market alive. They all reduce costs because greater coverage increases access to preventive care, the cheapest and most effective expenditure. And they all mandate that personal responsibility is the centerpiece for healthcare in the United States.
We collectively provide for our national defense, isn’t our national health just as important? We have a single payer military, where everybody, through income taxes, pays their share. We don’t get to choose just how much defense we want, we are mandated to buy the same military. And single payer courts, and single payer disaster relief, and on and on and on. It’s the personal responsibility to our general welfare. E Pluribus Unum – from many, one.
The focus of the Republican party has been to avoid any collective action on healthcare. Democrats since at least the Truman administration have tried to make healthcare more inclusive. To the point of adopting a Republican approach. They’re still not happy.