President Out of Touch on Obamacare

Sarah Ferris of The Hill writes:

President Obama on Tuesday made an emotional plea to protect the Affordable Care Act just weeks before the law could face its biggest legal challenge to date.    

The president’s signature legislative accomplishment is, of course, facing a Supreme Court challenge and the possibility that it could be invalidated over what he, and others, consider a drafting error.  But the president’s beef now is not with the court but with:

“ceaseless, endless partisan attempts to roll back progress.”

To the president:

“It seems so cynical to want to take coverage away from millions of people, to punish millions with higher costs of care and unravel what’s now become part of the fabric of America.”

The arguments over just how successful the bill is, or is not, and whether the president has delivered on the promises he made for it – keep your doctor, save $2,500, etc. – go on ceaselessly and nobody seems to give.  But there is this fact, which might account for the president’s pique … Obamacare has never been more unpopular than it is on the day he makes his passionate defense.

As Peyton M. Craighill of the Washington Post reports:

Support for keeping the subsidies comes despite the law polling as poorly as ever. The survey finds opinion on the health-care law among the worst in Post-ABC polling; 54 percent oppose, up six percentage points from a year ago. Support ties the record low of 39 percent,which was last hit in April 2012…The disconnect in the new poll — that a majority opposes the law, while a nearly equal majority does not want the Supreme Court to rule against it — is driven by political independents as well as Republicans. Independents oppose the law 56 percent to 35 percent. But they also want a ruling in favor of subsidies by almost exactly the same margin.

It seems likely that no government health care plan that is anything less than single-payer (otherwise known as “free health care”) will ever poll well.  Health care is expensive and nobody likes needing it or having to pay for it. Everybody wants the best care possible and cannot imagine being denied it over something as trivial as costs. Which continue to rise, with the insurance companies in several states looking for double digit rate increases as people previously uninsured – and uninsurable –  are running up costs and healthy people are not signing up in the numbers necessary to keep things solvent.

Health care is the challenge the political system is least capable of solving.  The president’s frustrations are understandable and, in large degree, of his own making.

But had he said, Many of you will not be able to stay with your doctor and many of you will lose your current health care plan and, perhaps, be shuttled over to Medicaid.  This is a work in progress and even under the best possible outcome, many of you will not be happy.  We’ll do the best we can but modern health care is expensive and somebody is going to have to pay and some people are going to get less than they believe they should and even less than they need. 

Down on the law; up on the subsidies.  Call it the health care paradox.

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