Last week was bad.
How incompetent can Washington Republican Conservatives
be? Since Obamacare came into being in
2010, the mantra on the right has been “repeal”. Later, “replace” was added to the
pledge. Yet, January 2017 rolls around
and there is apparently a mad scramble to craft a bill that will pass the GOP Congress.
Perhaps little was done substantively to produce a Republican
alternative to the mis-named Affordable Care Act because the belief that the
party would reclaim the White House in 2012 or 2016 was more hope that
expectation. Still, wouldn’t one have
expected that a plan would have been fleshed out just in case?
Apparently there were proposals being considered. One was by now Health and Services Secretary
Tom Price; another was by House Speaker Paul Ryan. But plainly, little behind the scenes work
had been undertaken to establish a consensus of support for such plans.
Ironically, the frenetic efforts to boost support for what
became Speaker Ryan’s plan by making last minute changes led to great
uncertainty as to what was in it and brought unwelcome thoughts of then-Speaker
Nancy Pelosi’s notorious plea that the ACA would need to be passed before one
could learn what was in it.
In the end, perhaps the withdrawal of the Ryan bill will be
a positive, albeit short term political embarrassment. At least for now, the country won’t be
subject to another health bill crammed down our throats. Time will allow for a slower pace to develop
a replacement for Obamacare that is subject to thoughtful consideration and
consensus support among, at least, Congressional Republicans who, after all,
still control Capitol Hill.
Several notes:
***President Trump’s pledge to
ignore health policy until Obamacare “blows up” sounds spiteful. He must not, as President, abandon his
responsibility to help clean up the mess to America’s health care system caused
by the Democrats. Being the chief
executive is not the same as being a real estate magnate who can simply walk
away when he doesn’t get what he wants.
***Peggy Noonan, a former
Reagan speech writer and longtime Wall Street Journal columnist, attributes the
defection, in part, of House GOP members to a poll showing broad public
disaffection with Ryan’s plan.
It’s hard to credit the
results of a poll showing public disapproval of proposed legislation when not
even members of Congress could be confident of what it contained.
It’s also odd that Ms. Noonan,
who usually displays a solidly conservative perspective, would suggest that a
plebiscite of the public – notoriously uninformed about policy details – should
determine a Congressman’s action. She
needs to refresh her knowledge of conservative British philosopher and
legislator Edmund Burke who famously proclaimed that “I owe constituents my
judgment, not my vote”.