San Francisco Chronicle

Killing Obamacare would endanger real Americans

- © 2017 Washington Post Writers Group Email: ejdionne@washpost.com Twitter: @EJDionne

Let’s try to get this straight. Donald Trump campaigned as the champion of lower-paid working people who deserve better than they have. Republican­s have spent the Obama presidency complainin­g about high deficits and promising to cut them.

And whenever liberals put forward major reforms, conservati­ves say: No, no, you can’t make radical changes on the basis of narrow partisan majorities. Let’s take it slow and be very careful. They love to cite Thomas Jefferson’s dictum, “Great innovation­s should not be forced on slender majorities.”

In moving with reckless speed to repeal the Affordable Care Act, Republican­s are violating every one of these supposed principles. That’s because the principle that really matters to them is the one they try to shroud behind happy talk about efficiency and compassion: They want to spend a whole lot less money helping Americans get health coverage.

This needs to be made very clear as their throw-people-over-the-side juggernaut rolls forward. Any vote to repeal Obamacare before there is a comprehens­ive alternativ­e on the table that all can study, understand and debate is a vote to deprive many of their health insurance. It is a vote to make the lives of millions of Americans demonstrab­ly worse.

And a bunch of politician­s who regularly accuse their progressiv­e opponents of being “out of touch” with the “real America” need to be exposed for what they are: a comfortabl­e, affluent and privileged coterie that does not need to spend a single second worrying about whether their kids can see a doctor or whether they will get the care they need if a health disaster strikes.

So let’s see what Republican senators from states whose constituen­ts particular­ly benefited from Obamacare decide to do.

These are real Americans, and they all live in states carried by Trump.

Now Republican­s will claim that their “replacemen­t” of Obamacare will take care of these folks. It will be, Trump has said, “something terrific.” OK, if it’s so terrific, let’s see it.

But they don’t want to do this because they have no plan to replace it with, only fragments of partial solutions and a lot of empty words. Their un-Jeffersoni­an haste is part of a cover-up, a con game in which voters are told to give up something concrete in exchange for — well, we’ll tell you later, maybe.

Oh, yes, and as for the deficit, the very bill McConnell is putting forward would swell it to $1 trillion — that’s with a “tr” — by the end of the decade. This is quite an achievemen­t. In one vote, the Republican Congress would deprive millions of lowerincom­e Americans of their health care while saddling the next generation with a whole new debt load.

If Democrats don’t see the fight against this truly monstrous way of legislatin­g as both a moral battle and a political gift, they should just pack up and find themselves another country.

But what the nation needs most right now are a few Republican­s willing to face up to how devious and manipulati­ve this process is and how damaging their votes could be to some of their most faithful supporters. These GOP loyalists believed them when they promised to replace Obamacare. Show them the “terrific” replacemen­t first.

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