237

Why couldn't they pass a single one of their many, previously-successful proposals under a Republican president? The simple answer is that you're measuring "successful" by how many votes were garnered in Congress. This is a slippery measure. Voting to repeal the Affordable Care Act when the sitting President (Obama) is guaranteed to veto your repeal is ...


205

These are a few reasons why each group is against Obamacare. With individuals — It requires nearly all Americans to get health insurance. Some do not think that the government should force citizens to buy health insurance and penalise them if they do not do so. There are taxes that Americans have to pay should they not buy health insurance. This is also ...


62

Tax cuts I could understand a candidate promising tax cuts and then after being elected scrapping Obamacare to pay for them. Obamacare repeal includes tax cuts: .9% Medicare tax surcharge on high income Americans 2.9% Medicare tax on capital gains, dividends, etc. Medical devices tax Individual mandate Business mandate And it expands certain tax ...


59

In a nutshell, the income threshold necessary to qualify for Medicaid (the poverty line prior to Medicaid expansion) is lower than the amount of income needed to pay for the medical care that Medicaid provides to people who are eligible for it. For example, if you need dialysis to stay healthy (which is not ER room care), it costs more than $70,000 per ...


56

It's not that the Republicans couldn't pass the AHCA, but that they didn't want to. It is difficult to just repeal the ACA, which is why the Republicans went from a repeal-only to a repeal-and-replace approach. The AHCA was what Trump and Ryan wanted to use as replacement, but it was widely unpopular among Republican and Democratic politicians as well as ...


46

You are overthinking this. The individual mandate is unpopular because it penalizes people who want to spend their money on something other than health insurance. Worse, it is a regressive tax, as the people who don't have insurance are primarily low income. High income people almost always have employer-provided health insurance. In 2007 and 2008, a ...


43

@tim has given a good answer in terms of the specific vote. However it's also worth looking at the reason why the Republicans couldn't get behind a replacement. The problem that the Republicans face is that the key elements of Obamacare were actually Republican ideas. This paper from the Heritage Foundation outlines the main points which were later ...


42

It seems like the core of your question comes down to a misunderstanding about how health insurance works in the US. I'm going to make the assumption that you come from a country where basic medical care is covered by the government and insurance is used primarily as backup for extra costs incurred beyond that. In the US, on the other hand, private ...


41

There's a couple of other factors in play here as well Obama intentionally lied about the effects of the bill A politician lying is nothing new, but your typical political lie is of the statistical variety. In other words, you oversell the benefits and undersell the impact and make it look like you're just arguing about numbers (Obamacare also sold a $2500 ...


37

Theoretically, the Republicans can try to repeal it again, as many times and for as long as they want - or at least until they get thrown out of office by mad voters. In practice, the longer it's around, the more political capital will be required to repeal it, and thus the less likely it'll get repealed. Republicans standing against their own camp on ...


36

The individual mandate requires people to act responsibly at a cost to their wallet/budget. There is a general theme that irresponsible selfishness = freedom that gets pandered to more and more in a day an age when people can select news/information that conforms to their pre-existing opinions. So, people look at the very short term "I'm not sick at this ...


31

One reason might be that many Americans apparently did not know that the vilified Obamacare is what is paying for their health insurance.


30

This answer is meant to supplement others here with some further reasons why conservatives are against the Obamacare system. Obama falsely promised the public some critical things about the system that came to be called Obamacare: ...No matter how we reform health care, we will keep this promise: If you like your doctor, you will be able to keep your ...


29

Some good ideas already, but I wanted to add some. From general to specific: It is easier to join a disagreement than to agree on something. If a road has a speed limit of 80 km/h, Alice can think that the speed limit should be 100 km/h, Bob that it should be 120 km/h, and Carol that it should be 50 km/h. While they are all against the current speed limit, ...


24

First, read @Panda's excellent answer. Second, note that about 70% of Democrats, and 15% of Republicans favor the Affordable Care Act, and this has been consistent over the past couple of years. This partisan discrepancy is at the core of the problem. Anything with any level of complexity has both costs and benefits. This is certainly true of the ...


24

First off, the answer to your actual question is easy. You ask "how could a politician lambast the individual mandate if it's crucial to the ACA." The obvious answer is that, generally speaking, the politicians who disagree with the individual mandate also disagree with the ACA as a whole. It's like asking how you could argue against killing if you're ...


21

In order to implement Romneycare in Massachusetts, Mitt Romney had to get waivers from the federal government. In particular, Romneycare made changes to how Medicaid money was spent. Since both Romney and George W. Bush were Republicans, it was easier for Romney to get that kind of approval than it would have been for a Democrat. You might ask why they ...


19

Another reason, at least for some of us who think about these things instead of reacting with knee-jerk partisanship, is that it does nothing to address the underlying problems. Indeed, it seems to me (though I have no hard data) that it actually worsens those problems. Which are 1) Medical care, especially basic medical care, is too expensive. There are ...


19

TL;DR The customer pays the insurance provider money. Then the insurance provider allows the customer to spend this money on birth control, be it pills or more invasive medical procedures. Health insurance benefits My picture of how insurance works is, I pay the insurance provider a certain amount of money. In return, the insurance provider promises that ...


19

You can think of the health insurance product as two pieces that are purchased together. One is coverage for health risks, that is illnesses. This is what you're thinking of as "insurance". The second part is that you're purchasing a bundle of preventative care, like annual checkups, vaccinations and birth control. Preventative care reduces the cost of ...


18

How many Americans are uninsured? According to the Bureau of the Census, in 2016 there were 27.3 million uninsured people in America. This was based on the American Community Survey, which is conducted regularly by the Bureau. Table S2702 of the 2017 data release (the most recent that appears to be available) says that about 28 million people were ...


15

Quite simply, the individual mandate is the part of the law that requires that ordinary people do something, so it is the part of the law most visible to those ordinary people. While some critics of the ACA oppose the various requirements it puts on insurers, this is largely academic to most ordinary Americans, who themselves are not insurers. To (some of) ...


14

One thing that other answers have missed is that it doesn't actually fix anything. It was supposed to make health care more affordable, but it did nothing of the sort. Health care in the US is broken because of bad laws, a bad business environment, and a bad risk situation on many levels, throughout the industry. Put simply, the risk, and therefore cost, of ...


14

Your original title question was a tad misleading/presumptive: she has never rejected all forms of healthcare reform. She has only rejected the most recent handful of attempts made by Republicans in the last several months. She's had several interviews where she expounds on her reasons. This CNN article includes several quotes from her (emphasis and link ...


13

I can only give you my reasons and examples that back them up. Loss of the rite to choose level of care First we have to look at the fact that with the transition to the ACA we lost the right to choose the level of care that we want. For many many years I had "Emergency care". It was cheap ($75 a month) and covered only emergency situations and resulting ...


13

It's not that the market was failed. The problem was the market was distorted and Democrats had some ideas on how to fix it (there wasn't a broad consensus on Single Payer, but Obamacare instituted Community Rating and Universal Coverage). Consider the following problems Nobody knows what health care really costs the end user. I know how much a car costs. ...


13

No, the Republicans are able to introduce further bills or amendments to repeal or replace the Affordable Care Act. This week's vote is in fact the second attempt by Republicans at healthcare reform, after the first attempt failed in March this year due to opposition from the Freedom Caucus. However, President Trump is able, and has already tried, to weaken ...


11

It's in the insurance company's best interest to encourage any behavior which reduces further payouts. That's why they cover preventative measures, like screenings, wellness visits, etc. Birth control may cost the insurance company some money, but consider all the costs if birth control is not used and the person covered becomes pregnant - potentially all ...


9

I think your linked article already mentions the relevant point. As the article notes, 75% of Americans do not want to repeal the Affordable Care Act, at least not without a proper replacement: Using the word repair “captures exactly what the large majority of the American people want,” said Frank Luntz[.] While the ACA in its current form is rather ...


Only top voted, non community-wiki answers of a minimum length are eligible