Rather than work with Democrats to reform Obamacare so that it works more efficiently, covers more people, and keeps the cost of care down, Trump and the GOP have engaged in a terrifying "burn it to the ground and offer nothing as a replacement" strategy that has failed on multiple levels.
Not only has it made Trump and the GOP look ridiculous for not having a semi feasible model to replace the ACA with, they have actively made health insurance premiums skyrocket by creating massive uncertainty in the market. Reported PBS today:
The Trump administration’s own actions are triggering double-digit premium increases on individual health insurance policies purchased by many consumers, a nonpartisan study has found.
The analysis released Thursday by the Kaiser Family Foundation found that mixed signals from President Donald Trump have created uncertainty “far outside the norm,” leading insurers to seek higher premium increases for 2018 than would otherwise have been the case.
The president says “Obamacare” is collapsing, but he’s also threatened to give it a shove by stopping billions of dollars in payments to insurers.
The report comes with Republicans in Congress unable to deliver on their promise to repeal and replace the Obama-era Affordable Care Act. Trump, meanwhile, insists lawmakers try again. The president says “Obamacare” is collapsing, but he’s also threatened to give it a shove by stopping billions of dollars in payments to insurers. Some leading Republicans are considering fallback measures to stabilize markets.
Trump of course is blaming everyone else but himself for the ongoing crisis -- Obamacare is collapsing (it isn't) and Democrats are to blame for not helping repeal it (why should they?). The net result is more expensive health care for everyone, and no solution coming from the president other than to repeal Obamacare and replace it with, well, nothing.
Obamacare is not a perfect health care model by any means given it is essentially a for-profit system that relies on private insurance companies providing coverage for the majority of people, but if implemented and supported properly it can help remedy some of the country's systemic problems. It has already done much to increase coverage and expand medicaid and medicare, but it cannot be expected to work properly if the president continues to create massive uncertainty in the market by threatening to destroy it at every given opportunity. He has no workable alternative, so why not try to fix what has already been working?
Of course this is politically impossible for Trump who ran on a platform of immediately repealing Obamacare. The longer it stays, the worse he looks, and the worse it works, the more he will be held accountable for it -- a nightmarish scenario that President Obama tried to warn him about when he took office. "Reality has a way of biting back," Obama told Trump -- advice the president has ignored for far, far too long, making the road back to reality almost completely impossible.