Millionaires will simply adore the ObamaCare repeal

Hidden in the Republican plan: A giant handout to the wealthy

You're welcome!
(Image credit: iStock)

There are many reasons why Republicans are desperate to repeal ObamaCare. They think it represents government overreach. They want to eradicate Barack Obama's signature legislative achievement. Some even believe that whatever they replace it with will be more efficient and effective at providing insurance for Americans. But there's another reason behind their zeal, one that doesn't get talked about very much: Repealing and replacing the Affordable Care Act, at least the way they want to do it, would be a gigantic gift to the wealthy.

Stay with me here while we get a little wonky. The first thing to understand about the ACA is that much of its benefits went to poor and middle-income Americans, financed in large part by taxes on the rich. The single most important thing the ACA did was expand Medicaid, in an attempt to insure everyone who earns up to 138 percent of the poverty level (a little under $34,000 for a family of four). As a result, the program has expanded dramatically, with as many as 14 million new enrollees who wouldn't have had coverage otherwise. And that's despite the fact that 19 Republican-run states refused to accept the expansion, leaving out an estimated 4.5 million more who are now without insurance because their governors and state legislatures wanted to give Obama the finger.

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Paul Waldman

Paul Waldman is a senior writer with The American Prospect magazine and a blogger for The Washington Post. His writing has appeared in dozens of newspapers, magazines, and web sites, and he is the author or co-author of four books on media and politics.