Vox had a great article on how TrumpCare contradicts Trump’s campaign promises on health care. Candidate Trump was a different kind of Republican; more heterodox on core domestic policy issues. He was going to protect Medicare, Medicaid, and Social Security from cuts and replace the Affordable Care Act with a “terrific” new system that would “cover everyone” and offer the lower premiums and deductibles the American people wanted.
“I’m not going to cut Social Security like every other Republican and I’m not going to cut Medicare or Medicaid,” Trump told the conservative Daily Signal way back in May 2015. “Every other Republican is going to cut, and even if they wouldn’t, they don’t know what to do because they don’t know where the money is. I do.”
His promises got even bigger. “I am going to take care of everybody,” he told 60 Minutes. “I don’t care if it costs me votes or not. Everybody’s going to be taken care of much better than they’re taken care of now.”
In an interview with the Washington Post, he said that Trumpcare would feature “insurance for everybody,” in contrast to an ACA that, while bringing the uninsurance rate to a historic low, has still left 25 million people without coverage. The plans, he said, would have “much lower deductibles.” And ability to pay, he said, wouldn’t be an issue. “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.”
“The only problem is that it’s all lies. Trump’s health care plan doesn’t protect Medicaid, it loots it to finance hundreds of billions of dollars in tax cuts.”
“In addition to slashing the Medicaid rolls by millions, the Trump health care plan will see millions more lose coverage, and the remainder will face higher premiums for plans that cover less.”
The “mean” cuts to Medicaid — reducing enrollment by a staggering 14 million — are particularly cruel in light of Trump’s explicit promise not to do this. His budget proposal for the next fiscal year includes even more Medicaid cuts that, paired with AHCA, would cut the program nearly in half.
There’s nothing remotely “terrific” about it, unless you happen to be one of the small number of high-income Americans who can expect to reap a large tax cut paid for by the suffering of millions of newly uninsured people. The centerpiece of Trumpcare is a $600 billion tax cut. Families with incomes below $208,500 per year will see their taxes fall by an average of $0 per year, receiving none of that money. But members of the top 0.1 percent of the income distribution — households with an annual income of more than $3.75 million — will see their taxes fall by an average of $165,090 per year.