President Obama’s signature accomplishment, the corporatist version of universal healthcare, is going to be “repealed and replaced” under the Trump administration. Obamacare, aka Romneycare, is already a Neocon plan- as Brad DeLong (Democrat economist) noted in 2010 “The conservative DNA of ObamaCare is hardly a secret. “The Obama plan has a broad family resemblance to Mitt Romney’s Massachusetts plan,” .... “It builds on ideas developed at the Heritage Foundation in the early 1990s that formed the basis for Republican counter-proposals to ClintonCare in 1993-1994.” While Obamacare did provide subsidized health insurance to over 20 million previously uninsured, about half of the people forced to buy expensive health insurance through the health exchanges receive no subsidy. Which means they pay the full boat - all the baked-in bloat and profiteering of the corporatist healthcare system is enhanced and preserved and paid for by UKnowWho, either in higher premiums (my doctor’s premiums for his family more than doubled under Obamacare) or through the taxes that pay the subsidies. So thanks, Democrats, for badly implementing Heritage Foundation policies that transfer massive amounts of public treasure to profiteering insurers on the backs of citizens forced to buy insurance or pay a fine. It’s hard to see how Trump and the Republicans could crapify this system any further but they are sure going to try.
US healthcare already costs about double per capita compared to other advanced economies - “In the late 1990s, for example, the U.S. spent roughly 13% of GDP on healthcare, compared to about a 9.5% average for all high income countries. However, in recent years, the difference has become more stark. Last year, as Obamacare continued to roll out, costs in the U.S. reached an all-time high of 17.5% of GDP”
And it’s not like the public health outcomes under the US healthcare system are better - they are on average worse AND more expensive than the systems that prevail in single-payer jurisdictions - which is pretty much everywhere except the USA. But the single-payer option, Medicare for all, is not even on the table, as Hillary Clinton told us, “will never, ever, happen!”
SO let us see what Trump’s brain trust comes up with. The omens are not good: Paul Ryan has proposed converting MediCare to the Obamacare model, every citizen pays health insurance premiums to profiteering insurers, and the poorest receive subsidies.