Health care law ruling likely to prove indecisive
WASHINGTON — A federal judge’s ruling that the Obama health law is unconstitutional has landed uncomfortably among Republicans, who’ve seen the politics of healthcare flip as Americans increasingly value the overhaul’s core parts, including protections for pre-existing medical conditions and Medicaid for more low-income people. While the decision by the Republican-appointed judge in Texas was sweeping, it has little immediate practical impact because the Affordable Care Act remains in place while the legal battle continues, possibly to the Supreme Court. HealthCare.gov, the government’s site for signing up, was taking applications Saturday, the deadline in most states for enrolling for coverage next year, andthose benefifitswill take effect as scheduled Jan. 1.Medicaid expansion will proceed in Virginia, one of the latest states to accept that option. Employers will still be required to cover the young adult children of workers, and Medicare recipients will still get discounted prescription drugs. But Republicans, who lost the House majority in the midterm elections, are facing a fresh political quandary after U.S. District Judge Reed O’Connor said the entire 2010 health law was invalid. Warnings about the Texas Lawsuit were part of the political narrative behind Democrats’ electoral gains. Health care was the top issue for about one-fourth of voters in the November election, ahead of immigration and jobs and the economy, according to Vote Cast, a nationwide survey. Those most concerned with health care supported Democrats overwhelmingly. In his ruling, O’Connor reasoned that the body of the law could not be surgically separated from its now-meaningless requirement for people to have health insurance. “On the assumption that the Supreme Court upholds, we will get great, great health care for our people,” President Donald Trump told reporters during a visit Saturday to Arlington National Cemetery. “We’ll have to sit down with the Democrats to do it, but I’m sure they want to do it also.” Economist Gail Wilensky, who over saw the Medicare program for President George H.W. Bush, said the state attorneys general from GOP strongholds who filed the lawsuit really weren’t very considerate of their fellow Republicans. “The fact that they could cause their fellow Republicans harm did not seem to bother them,” said Wilensky, a critic of President Barack Obama’s signature domestic achievement. “The people who raised it are a bunch of guys who don’t have serious election issues, mostly from states where saber-rattling against the ACA is fine,” she added. “How many elections do you have to get battered before you find another issue?” Douglas Holtz-Eak in, top policy adviser to Republican John McCain’s 2008 presidential campaign, said he was struck by the relative silence from top Republicans after the ruling issued. A prominent example: “The House was not party to this suit, and we are reviewing the ruling and its impact,” said AshLee Strong, spokeswoman for House Speaker Paul Ryan, R-Wis. Republicans are “going to have to figure out what to do,” Holtz-Eakin said. “If it’s invalidated by the courts, it’s not ... ‘We’re going to do it our way.’ They’re going to have to get together with the Democrats in the House.” The GOP’s failed effort last year to repeal the law showed there’s no consensus within the party itself.