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Monday, December 09, 2019 {{ new Date().getDay() }}

You’ve heard of Obamacare, right?

It’s that disastrous, costly and intrusive policy that President Obama and his fellow Democrats rammed down the throats of Congress back in 2010 — a failed plan that conservative Republicans have pledged to “repeal and replace.” According to its critics, it is un-American; it destroys the health care system; it burdens businesses; it hollows out Medicare. Right?

Ah, wrong. Despite what you may have heard and despite the caprice of electoral campaigns, the changes wrought by the Affordable Care Act are here to stay. That’s because it accomplishes much of what it set out to do — and its beneficiaries mostly like it.

Don’t expect Republicans to try to turn back the clock. Oh, some of them will continue to bash Obamacare and to blame it for any negative effects on the country’s dysfunctional health care “system” — including rising costs. And some will even go so far as to continue to insist that it ought to be repealed.

Take Senate Minority Leader Mitch McConnell, who expects to lead the upper chamber if Republicans claim a majority. In a debate last month with his Democratic rival, Alison Grimes, McConnell suggested that he would repeal the Affordable Care Act but leave in place Kentucky’s popular state exchange program.

“… The best interest of the country would be achieved by pulling out Obamacare, root and branch,” he said. “Now, with regard to Kynect, it’s a state exchange. They can continue it if they’d like to.”

McConnell’s pronouncement was a tour de force of dissembling, a virtuoso performance of fabrications and disinformation. The Washington Post’s fact checker awarded him three Pinocchios.

That’s because the state’s health care exchange, Kynect, is a part of Obamacare, made possible by the 2010 law. If Obamacare is ripped out “root and branch,” the state exchanges could not continue to exist. (The GOP has continually pledged to find a mechanism to replace Obamacare, but its warring factions have failed to agree on any plan that would leave state exchanges in place.)

Here’s the rub: Kynect is very popular with Kentucky’s residents, many of whom are enjoying health insurance for the first time in their lives. They have been primed by Republican politicians to hate the president and any policy he endorses — including his signature health care plan — but they don’t want to give up Obamacare’s benefits.

Kentucky is emblematic of the states that have received substantial assists from Obamacare. It is largely rural and is among the poorest states. It has also long ranked near the bottom in several health indicators, including obesity and smoking rates and cancer deaths. Obamacare has been a boon for its residents, cutting the rate of uninsured in half.

According to The New York Times, people who live in rural areas are among the biggest winners from the Affordable Care Act. Other groups who have reaped substantial benefits are blacks, Latinos, women and younger Americans between 18 and 34.

Here’s another reason that Obamacare is here to stay: Its expansion of Medicaid is a boon to the states that have taken advantage of it. After the Supreme Court ruled that Medicaid expansion was optional, most Republican governors vowed to resist it — even though the federal government will pay 100 percent of the cost for the first three years and 90 percent thereafter.

But some of those GOP governors are now having second thoughts as rural hospitals are forced to close down for lack of funds and poor people are sidelined by preventable illnesses. Several GOP governors have already expanded Medicaid — which provides health insurance for the poor — and others are considering doing so.

Last month, Ohio’s Republican governor, John Kasich, advised his GOP colleagues to stop fighting the Medicaid expansion. The opposition, he said, “was really either political or ideological. I don’t think that holds water against real flesh and blood, and real improvements in people’s lives.”

Some Republicans have trouble admitting that on the campaign trail, but they all know it’s true.

(Cynthia Tucker won the Pulitzer Prize for commentary in 2007.  She can be reached at cynthia@cynthiatucker.com.)

AFP Photo/Joe Raedle

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If Boss Trump is headed for defeat, he's getting his revenge early. His revenge upon his deluded supporters and the people they love, that is. Trump's re-election campaign now consists mainly of what epidemiologists call "super-spreader" events: large-scale rallies of unmasked, non-socially distanced Trumpists yelling in each other's faces while the Big Man emits a non-stop barrage of falsehoods, exaggerations, and barefaced lies.

Let me put it this way: If, say, the Rolling Stones decided to put on free concerts at airports around the country, they'd likely end up being taken into custody and deported as undesirable aliens. Of course, they'd also draw far bigger crowds than Trump, but that's not the point. The point is that Trump's actions are reckless and immoral; the peacetime equivalent of war crimes.

"Covid, covid, covid, covid, covid," he hollers. Trump claims that the United States is "turning the corner" on the pandemic, and that the accursed news media will quit reporting Covid-19 fatalities come November 4. He claims that health officials are motivated by greed because "doctors get more money and hospitals get more money" if they report that the virus was the cause of death.

Surveys have shown that more than a thousand physicians and nurses have died fighting the disease nationwide.

As ever, what he accuses others of doing is an excellent guide to the question: What would Trump do? Answer: he'd steal the silver dollars off a Covid victim's eyes and demand an investigation of Joe Biden

According to the Washington Post, the Trump campaign organization signed an agreement with officials in Duluth, Minnesota to limit attendance at a September 30 fly-in rally, in accordance with public health guidelines. Hours before the event, it became clear that no effort was being made to honor the agreement; some 2500 Trump supporters bunched up without masks on the tarmac, ten times the agreed limit.

Health Department officials' protests were simply ignored. Three days later, Trump himself was taken to Walter Reed Hospital by helicopter. Three weeks after that, the following headline appeared in the Duluth News-Tribune: "St. Louis County sees another record-breaking week of COVID-19 cases."

Any questions?

The Trump Circus subsequently performed in Janesville and Waukesha, Wisconsin in the midst of a record-setting pandemic outbreak there. "It took us 7 and a half months to reach our first 100,000 cases, & only 36 days to reach our second," the Wisconsin Department of Health tweeted. "In just two short months, the 7-day average of new confirmed cases has risen 405%."

But the show must go on. Trump regaled his Janesville audience with a veritable torrent of lies. The New York Times did a thorough fact-check of his October 17 speech. Reporters documented 130 false statements during Trump's 87 minutes onstage. Nearly three-quarters of his factual claims were untrue. The most egregious concerned Covid-19, probably because the disease represents his single greatest failure and most damaging political liability.

Another question: Does Trump count upon his supporters' invincible ignorance or simply share it? I fear it's a little of both. In Janesville, Trump made this absurd claim two minutes into his harangue: "When you look at our numbers compared to what's going on in Europe and other places," he said "we're doing well."

Any regular newspaper reader knows that this is simply nonsense. As the Times reports, "America has more cases and deaths per capita than any major country in Europe but Spain and Belgium. The United States has just 4 percent of the world's population but accounts for almost a quarter of the global deaths from Covid-19."

Germany, to choose the most striking comparison, has suffered only 122 deaths per million of its population, according to Johns Hopkins University. The United States has recorded more than five times as many: 686 per million. Neighboring Canada, meanwhile, is at 264 per million. Several Asian countries, have handled the pandemic even better.

It's a matter of capable leadership and public cooperation.

No wonder Trump appears to have succumbed to a case of dictator envy. "COVID, COVID, COVID is being used by [the 'Fake News' media] in total coordination" he tweeted the other day "in order to change our great early election numbers. Should be an election law violation!"

Yeah, well they all report the same World Series scores too. Furthermore, if Trump had good election numbers, he wouldn't whine so much. Has there ever been a bigger crybaby in the White House?

(In related news, Vladimir Putin has issued a mandatory mask mandate after a surge in Russian Covid infections. Go figure.)

Meanwhile, the rallies go on; a bizarre spectacle people treat as if it's normal. Trump has become Covid-19's Typhoid Mary, an Irish cook who unwittingly infected 53 people back in 1906.

But unlike Mary, he should know better. If anybody should be locked up, as his rapt admirers chant, it's the Super-Spreader in Chief.