If Obamacare Dies, National Health Care Will Take Its Place

John Arthur Brown/ ZUMA Wire

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Ezra Klein makes an argument about Obamacare that I’ve heard a lot of lately:

If Republicans wipe out the Affordable Care Act and de-insure tens of millions of people, they will prove a few things to Democrats. First, including private insurers and conservative ideas in a health reform plan doesn’t offer a scintilla of political protection, much less Republican support. Second, sweeping health reform can be passed quickly, with only 51 votes in the Senate, and with no support from major industry actors. Third, it’s easier to defend popular government programs that people already understand and appreciate, like Medicaid and Medicare, than to defend complex public-private partnerships, like Obamacare’s exchanges

This sounds pretty plausible to me. If passing a cautious, incrementalist program like Obamacare doesn’t provide any protection against Republicans destroying it, Democrats have no motivation to bother with cautious, incrementalist programs. They might as well just bend the rules, pass national health care, and be done with it. If insurance companies don’t like it, tough. Democrats contorted themselves into pretzels to design a program acceptable to insurers, and were rewarded with disaster. Insurers screwed up both their pricing and participation so epically that they brought Obamacare to its knees, and when Republicans proposed ditching the whole thing they just sat on their hands. It’s obvious now that the support of the insurance industry provides zero—or maybe negative—benefit. So the hell with them.

And that’s all in addition to the fact that the Bernie movement has made single-payer health care a live possibility in a way it’s never been before.

Republicans are basically hellbent not on any positive agenda, but on repealing everything Obama did in his eight years. Dodd-Frank. Obamacare. Paris. Higher taxes on the rich. A less interventionist approach to the Middle East. Immigration. Cuba. Net neutrality. Almost literally, they have nothing left of their own that they’re interested in doing. If the technology existed, it wouldn’t surprise me if they tried to reanimate the corpse of Osama bin Laden on the grounds that it was a mistake to kill him and leave the field open to ISIS.

Note to Republicans: I’m just joking about that.

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SIX TRUTHS

Reclaiming power from those who abuse it often starts with telling the truth. And in "This Is How Authoritarians Get Defeated," MoJo's Monika Bauerlein unpacks six truths to remember during the homestretch of an election where democracy, truth, and decency are on the line.

Truth #1: The chaos is the point.

Truth #2: Team Reality is bigger than it seems.

Truth #3: Facebook owns this.

Truth #4: When we go to work, we're in the fight.

Truth #5: It's about minority rule.

Truth #6: The only thing that can save us is…us.

Please take a moment to see how all these truths add up, because what happens in the weeks and months ahead will reverberate for at least a generation and we better be prepared.

And if you think journalism like Mother Jones'—that calls it like it is, that will never acquiesce to power, that looks where others don't—can help guide us through this historic, high-stakes moment, and you're able to right now, please help us reach our $350,000 goal by October 31 with a donation today. It's all hands on deck for democracy.

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