It’s Official: The GOP Repeal, Reform and Replace Effort is Over. The ACA is Here Forever.

Karl Rove in the WSJ writes: “It’s the paradox of success. With 3.6% unemployment and 3.2% growth in gross domestic product, voters are turning to other issues. When the May 1 NBC/Wall Street Journal survey asked what “should be the top priority for the federal government,” 24% chose health care and 18% said immigration and border security. Job creation and growth came in third, at 14%. While this shouldn’t stop Republicans from selling their economic success, it points to a central challenge for 2020.”

Of course, when it was credible to think the GOP succeed, Rove’s call to arms would have been enthusiastically answered.

But now, between a third and 39% of GOP voters back Medicare for All, according to several recent and credible polls.

If the GOP could get to Yes on any sort of reform of the ACA, the GOP could have a health care offensive.

But there are not 50 GOP votes in the Senate for any kind of ACA health care reform, and as a result, a third or more of Republican voters are backing Medicare for All.

Witness the near instant shutdown of Trump’s latest attempt several weeks ago to become the party of health care. 

The problem still is that the GOP cannot get to yes on health care.

And now, a third of the GOP voters are simply not going to be fooled again by Republicans.  They are backing the Dem plan, because they don’t think the GOP will ever deliver.

Between abortion politics and the inflexibility on title one of the ACA by a handful of can’t-get-to-yes-ever Republicans, there simply is no point in trying to amend the ACA, or reform it. 

The votes to repeal the ACA don’t exist either, and the polling on that is devastating to those who advocate it. Only the truly delusional talk about repeal now.

So like it, or not, the politics that caused the GOP health reform rocket to explode on the pad last Congress are still well and truly in place.

It’s just worse with the Dems in control of the House.

Until the GOP failed to pass health care reform, the GOP was more trusted by voters than the Dems on health care.

The Dems are now much more trusted than the GOP on health care (by 15 points).

Quoting Rove in the WSJ:  “The GOP must narrow the Democratic health-care advantage. Too many people are too ready to believe that whatever Democrats offer on that front is better for the country. A Feb. 27 NBC/Wall Street Journal poll found 56% think the Democratic Party’s position on health care is “in the broad mainstream” while 41% believe the same of the Republican position.”

So should the GOP talk about ACA health care reform when there is zero chance of it happening?

Or, will it just further damage their already destroyed health care credibility with voters?

Legislative inaction from GOP fratricide on health care will move voters closer to M4A, because it is crystal clear that GOP failure on health care simply has radically and quickly increased the public support for M4A.

The GOP’s failure has created a health care vacuum into which M4A has filled. 

So conservatives and the GOP had better begin talking about something other than the ACA.

We don’t have the votes to change the ACA.  And anyway, the public does not trust us or believe us.

It is time to do something else until the Title One Nos or abortion issue Senators change their mind (and whales fly across the sky, and rainbows appear inside buildings with lots of purple ponies floating on white clouds outside.)

If we keep pretending the GOP can do thing one about the ACA, the loss of trust from voters will continue.

The Nos have solidified the ACA. It’s here forever now.  We can’t change the ACA.  It is not possible politically.

Rove, in his piece quoted from and linked to above, does not mention ObamaCare or the ACA – not once.  He gets it.  He’s seen the polling.  It is over.

And talking about the ACA only reminds voters about that failure and why – by 15 points – they don’t trust Republicans on health care anymore.

The Rx pricing debate is refreshing.

The action on drugs happened because of Executive Action.  Not Congress.

Maybe Trump can regain the voters’ trust on health care that was shredded by the we-will-never-ever-not-ever-get-to-yes crowd.

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