Healthcare and the 2024 presidential election

Republicans have long objected to the ACA, and Trump tried several times to have it overturned; he’s claimed he’ll replace it with something better, but in eight years, he’s never come up with even a rudiment of a proposal. And here’s Speaker Johnson at a campaign stop yesterday:

“No Obamacare?” an attendee asked Johnson, referring to the law Democrats passed in 2010, also known as the Affordable Care Act.

“No Obamacare,” Johnson responded, rolling his eyes. “The ACA is so deeply ingrained, we need massive reform to make this work, and we got a lot of ideas on how to do that.”

No, both sides aren’t equal:

“Vice President Kamala Harris, who previously backed a universal healthcare plan, wants to expand and strengthen the health law, popularly known as Obamacare. She supports making permanent temporary enhanced subsidies that lower the cost of premiums. And she’s expected to press Congress to extend Medicaid coverage to more people in the 10 states that have so far not expanded the program.

“Trump, who repeatedly tried and failed to repeal the ACA, said in the September presidential debate that he has “concepts of a plan” to replace or change the legislation. Although that sound bite became a bit of a laugh line because Trump had promised an alternative health insurance plan many times during his administration and never delivered, Vance later provided more details.

“He said the next Trump administration would deregulate insurance markets — a change that some health analysts say could provide more choice but erode protections for people with preexisting conditions. He seemed to adjust his position during the vice presidential debate, saying the ACA’s protections for preexisting conditions should be left in place.”

Just a reminder: “preexisting conditions” is insurance-speak for medical history.

Trump vs Harris on the ACA