Trump(doesn’t)care

Generally the citizens of red states take in more from the feds than they pay out in taxes. Conversely blue states pay out more than they take in. There are exceptions, red Kansas pays out more than it takes in and blue New Mexico takes in more than it pays out.

Both Trump and the Republicans in congress have repeatedly stressed their plan to repeal the Patient Protection and Affordable Care Act (Obamacare.) Will it be replaced? If So what will replace it? House majority leader Kevin McCarthy said “”Nothing’s been decided yet but I would move through and repeal and then go to work on replacing.” There are several competing ideas floating around, all of which will mean less support for healthcare.

The medicaid expansion is certain to go, eliminating healthcare support for about 14 million people nation wide. Most republican plans drive people with pre-existing conditions into very expensive high risk pools, essentially eliminating insurance for those with lower incomes. Most republican plans will return to annual and/or lifetime limits – exceed your limit and you no longer have insurance at any cost.

People will continue to get sick, insurance or not. In fact without the preventive care measures built into Obamacare, they likely will get more sick. Without reasonable healthcare protections, they won’t be able to afford to go to a clinic for treatment of a cold. They will wait until on death’s bed with pneumonia before they go to the hospital for treatment but can’t pay with dollars they don’t have.

So our population will suffer more serious health care emergencies, increased medical bankruptcies will lower payments to hospitals and staff, and smaller rural hospitals which operate on narrower margins will close their doors, further decreasing access to health care for much of the state’s working poor.

And it won’t stop with just healthcare. Expect cuts to any number of federal programs including food stamps, housing subsidies, subsidies for transportation, etc.

Here in Arkansas we are one of the net takers receiving more in federal dollars than we pay in taxes. Over 684,000 votes were cast for Trump. Around a half a million voters and their children will lose some or all of their healthcare support. Another half a million more could lose some or all of their nutritional support (foodstamps, WIC) including children. What do you think a Venn diagram of Trump voters and beneficiaries of federal largess would look like? Considerable overlap?

The real irony in all this is that the republicans’ lust for smaller government will negatively impact their voter base in the red states. The more prosperous blue states will have their treasuries buoyed by the reduction in federal tax payments. They can use that money to provide for the health and welfare of their citizens. The less prosperous red states will be allowed to continue on a downward spiral with lower wages, poorer health and an every person for themselves paradise. Be careful what you wish (vote) for.

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