The Conservative Argument in Favor of the Affordable Care Act

So the shutdown is over and we aren’t going to default on any debt. But the Republicans still vow to get rid of Obamacare. So let’s look at why health care reform is something Conservatives should be in favor of. Here’s a letter to my Tea Party-backed Representative:

Health Care is a jobs issue. Actually, I was pretty surprised that the President and the Democrats didn’t use this line when they passed the Affordable Care Act in the first place, because it is very true. I used to work for Dell, one of the bigger employers in our district. In the mid 2000’s (2005 give or take) Dell decided to bring call volume back from India and therefore opened new call centers. Did they open them in the US? No, they opened them in Panama and Canada. Why? At least in part it was because those countries had government health coverage and so employers weren’t burdened with providing insurance.

A small business I know of in Travis County was very proud to start providing insurance for their employees around the same time. Shortly thereafter, one of their employees and his family were in a terrible car accident. They lost at least one member of the family (as I recall) and the survivors had some serious medical bills. Now, I don’t know if these medical bills had anything to do with the employee leaving the next year, but I would hate to be the employer faced with the prospect of having my small business hit with suddenly increased premiums because of something like this. I hope the guy was not fired so that the company could continue to provide benefits, but I can’t rule it out.
Health Care is a huge burden on job creation in this country and I can say that from my own direct experience as well. Dell laid me off in 2009 and I investigated starting my own business during the year that I remained unemployed. I applied for private insurance during that time and was denied for “pre-existing conditions.” The insurance company so wanted to avoid covering me that they took my off-hand comments in my doctor’s notes as a diagnosis. I am not certified by any authority in the world to make diagnoses, but that apparently didn’t matter to the insurance company. They also invented a “smoking history” for me.

Last year, I had a heart attack. That’s a real pre-existing condition that is going to require me to have insurance in place because heart attacks are EXPENSIVE and so are the drugs to prevent them. I’m doing everything I can to prevent a future heart attack but there are no guarantees and the prevention isn’t cheap either. Under the old system, that means I’m tied to employer insurance until I get old enough to qualify for Medicare. How can I create jobs and grow the economy if I can’t get health coverage? Well, right now, the answer is Obamacare. What you thought the Republican alternatives would work? Why would an out-of-state insurance company want to cover me when an in-state company bent over backwards to avoid covering me, when there wasn’t anything seriously wrong with me yet? Tort Reform? We have tort reform in Texas already and it didn’t make Scott & White feel inclined to take my application seriously. The plain fact is that the GOP has no viable alternative to solve the problems that Obamacare solves. Technical problems with the website aside, there are quite a few reasonably priced plans available to me on the exchange that aren’t allowed to deny me based on my medical history. Now, if you want to do something different from Obamacare, go right ahead, but keep in mind, none of what you and your colleagues have come up with so far fix any of the problems that make the health care industry a drag on our economy. Real health care reform is totally in line with Republican Values. Even if we accept the cynical view that the only thing Republicans value is handouts for the rich, health care reform is in line with that value, too.

And if you’re worried about the insurance companies and their lobby, here’s my thought on that subject: Screw them! Ostensibly they are in the business of paying medical bills, but my experience with them is that they will take any excuse NOT to pay those bills. I could go on for days with stories of how the insurer providing our agency’s current coverage have used incompetence and red tape to avoid meeting their obligations under our policy. Honestly, I don’t see how a government bureaucracy could be any worse than the private bureaucracy I’m dealing with currently. As long as insurance is a for-profit enterprise, this will always be a problem.

So, your recent ill-advised efforts to defund Obamacare were ill-advised not just because it was a stupid strategy, but because it went against our county’s economic interests. I was always taught that the GOP was the party of fiscal responsibility and growing the economy. Getting rid of Obamacare with your current ideas on what to do instead is neither responsible nor does it grow the economy.