This is truly one of the more bizarre after-effects of the Congressional Budget Office report that 24 million people will lose their health insurance if Obamacare is repealed and replaced: House Speaker Paul Ryan is very happy, saying that’s exactly what he intended, because, you know, freedom. But the Trump White House is denigrating the CBO, saying its numbers make no sense.
Declaring that the plans would usher in “the most fundamental entitlement reform in a generation,” Ryan said the legislation “is about giving people more choices and better access to a plan they want and can afford. When people have more choices, costs go down. That’s what this report shows.”
“Just absurd,” was the way Mick Mulvaney, director of the White House’s Office of Management and Budget, responded to the forecast, while Health and Human Services Secretary Tom Price said, “The CBO report’s coverage numbers defy logic.”
What this comes down to, of course, is who promised what. Ryan and his fellow Republicans have always promised needless pain and suffering (freedom!), and the alternative they’ve drafted to Obamacare would give people exactly that. Indeed, the CBO report is actually good news for Ryan, since it may impress Republicans like Sen. Rand Paul, who has complained that the Ryan plan doesn’t go far enough in returning us to John Locke’s state of nature.
President Trump, by contrast, promised repeatedly to replace Obamacare with something bigger and better. “We’re going to have insurance for everybody,” he said at one point. “There was a philosophy in some circles that if you can’t pay for it, you don’t get it. That’s not going to happen with us.”
As ABC News’ “The Note” puts it: “There are tensions everywhere — between what Ryan has long planned, what tea partiers and outside conservative groups have yearned for, and, critically, what President Trump promised.”
There is a perception among some that, unpopular though Trump may be (and he is), he’s nevertheless fulfilling his promises. For instance, Boston Globe columnist Alex Beam writes:
This isn’t the world I would choose to live in, but it’s a world we may need to get used to. I can’t see any evidence that Trump has done anything other than deliver on almost every one of his hateful campaign promises. Sure the central press hates him, and is working long hours to bring him down, but they hated him well before he was elected, and it affected the election barely a whit.
In fact, repealing Obamacare and replacing it with anything like the Ryan plan would amount to a massive breach of one of Trump’s key promises, and it would harm his voters more than most Americans. Yet Trump and his minions appear to be paving the way for passage of the Ryan plan — let’s call it Trumpcare! — by deriding the CBO report as “fake news.” Unfortunately, it will actually accomplish exactly what Ryan is aiming for, which is to undermine the entire notion that government can make a meaningful difference in people’s lives.