The American Health Care Act, Act 2

It’s time to raise your voice.

When the House of Representatives failed to pass the American Health Care Act in March, we thought they would move on to other things. They had already faced the wrath of their constituents in town halls across the country, defending themselves against charges that they were taking people’s health care away.

But a promise is a promise, and the Republicans had promised their voters they would get rid of Obamacare. So they began to negotiate — only instead of negotiating with the moderates in their party and perhaps some Democrats, they chose to work with the tea party faction, who now call themselves, without irony, the Freedom Caucus — which had disparaged the original AHCA as “Obamacare-lite.” If the angry constituents packing town halls to capacity thought the first iteration of the AHCA was too extreme, what on earth made House Republicans think a Freedom Caucus makeover would produce a bill that would inspire less animosity than the first?

We must insist that our representatives remember that health care is a matter of life and death.

So Tom MacArthur, a supposedly moderate Republican who makes Ronald Reagan look liberal, and Mark Meadows, the Freedom Caucus leader who makes Reagan look like a full-blown socialist, hammered out a deal. The tea party objection to the AHCA was that it didn’t get rid of the ACA’s regulations on insurance companies — such as barring insurers from charging more money to women, older patients, or patients with preexisting conditions, or requiring them to cover essential services like preventive health care without cost to patients, emergency services, prescription drugs, and prenatal care. MacArthur and Meadows’ supposed compromise allows states to apply for waivers to opt out of these essential services, or to allow higher rates for those with preexisting conditions if they set up “high-risk pools.” MacArthur’s constituents were not pleased. Continue reading