In their rearguard struggle against what they view as ‘socialized medicine’, Republicans vigorously fought to thwart the Affordable Care Act introduced by president Barack Obama that enabled many formerly uninsured people to get much needed health insurance, even though it was very much a capitalist plan, similar to one introduced by Mitt Romney when he was governor of Massachusetts. A real socialist plan would be a government-run single-payer plan which I hope will eventually be put in place. As part of their campaign against it, they derisively called it Obamacare but Obama and Democrats have embraced the name. Now that it has become popular, it will be hard for Republicans to do a switch and claim it for their own.
Despite multiple attempts to repeal it even when they controlled Congress, those attempts failed because Republicans simply had nothing to offer to put in its place. They similarly opposed what is known as ‘Medicare expansion’, a program largely funded by the federal government that would have enabled more low-income people to enroll in the Medicaid program that provides access to health care. That program is run by the states and states with Republican governors and legislatures refused to accept the program, since they do not give a damn about the needs of poor people and were determined to stop anything proposed by Obama that did not benefit the rich. But there were other consequences to blocking the program, one of which was that many hospitals in remote areas shut down because they could no longer get Medicaid funding for treating their poor patients. Since rural areas tend to be Republican, these states were hurting themselves and have belatedly slowly started accepting Medicaid expansion, with North Carolina being the latest, that will allow about 600,000 people in the state greater access to health care.
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