Republicans talk about making Obamacare better, not repealing it, so it is ‘becoming a politically untouchable part’ of the safety net
Kentucky Health News
As evidence, Diamond cites President Joe Biden’s “celebration” of the Patient Protection and Affordable Care Act as he runs for re-election and former president Donald Trump’s “grudging acceptance” of the 2010 law: he no longer wants to repeal it, just “make it better.”
In Kentucky, where then-Gov. Steve Beshear embraced Obamacare by expanding Medicaid to the point that it covers every third person in the state, Republicans have realized its political appeal and have not pushed to replicate the failed efforts of Republican Matt Bevin, governor in 2015-19, to impose work requirements on Medicaid beneficiaries.
Nationally, “More than 45 million people now rely on the ACA and its provisions for health coverage, according to a federal report released last week, and the law’s protections for people who have pre-existing conditions have transformed many Americans’ experience of health care. Yet for nearly a decade, Republicans like Trump successfully ran on pledges to ‘repeal Obamacare’ — and Democrats sometimes ran from it, scarred by the law’s bumpy rollout, the constant political attacks and the struggle to communicate its benefits,” Diamond notes. “But when Trump and his Republican allies nearly repealed the ACA — falling one senator short in July 2017 — it sparked passionate efforts to defend it and catalyzed new, long-lasting support.”
“Today, more Americans than ever have health coverage, with about 21 million insured through the ACA’s private health plans, up from 12 million when Biden took office, according to a federal report released last week,” Diamond reports. “Another 23 million gained coverage through the law’s expansion of the Medicaid program.”