medicaid

Why Are the Media Ignoring Stories about the Millions Impacted by Trumpcare?

If you haven’t heard Jordan Acker’s story, it won’t take long.

In just 16 tweets last weekend, the Huntington Woods dad and attorney revealed how a bad drug reaction shut down his liver. Thankfully, he recovered, but it left him a pre-existing condition. And under Trumpcare, he and millions of others with pre-existing conditions will be paying more for health insurance — and many won’t be able to afford it at all.

Here are the first tweets, but read the whole thing:

Acker told me that something amazing happened after he shared his story on Twitter. He heard from roughly 10,000 people, from across the country and across the globe, about their health care issues. Acker thought that was pretty unusual (it is) and tried to see if any media would be interested in the story.

They weren’t.

I can’t tell you why. As a journalist, I know that this is a pretty compelling premise for a human interest story (and it has a social media angle that you can sell to gray-haired management as a way to rope in the hip youngs).

I suppose if I were still a daily journalist covering politics and health care (as I was for many years), I would be a little overwhelmed by all the stories to tell about people impacted by Trumpcare, even right here in Michigan.

There are so many people who will be harmed by Trumpcare that it’s hard to get your head around it. There are the 23 million who will lose insurance under the last version scored by the nonpartisan Congressional Budget Office (the Senate version is still under review).

But the Senate plan goes even further and decimates Medicaid, which serves 75 million people. It’s not just the expansion under Obamacare, mind you — Trumpcare goes after the program itself. Many people know that slashing Medicaid hurts low-income people. But Medicaid provides a range of services, including those for disabled people and nursing home care for seniors. That’s why you saw people in wheelchairs protesting the bill outside the office of Senate Majority Leader Mitch McConnell (R-Ky.) — where they were unceremoniously thrown out.

And there are millions upon millions more who will see their health costs soar — as Trumpcare will raise deductibles, eliminate mandated services (maternity, mental health, substance abuse care, etc.) and put caps on your coverage so insurance companies don’t have to pay anymore if your care costs too much.

If you’re starting to see a pattern that nothing Donald Trump promised on the campaign trail is in there, you are correct. If this is sounding like the bad old days before Obamacare when people went bankrupt for getting cancer, that’s also correct. But on top of that, Republicans want to kill Medicaid, which means that we’re not just going back to 2010. We’re going back to 1965 — only with skyrocketing health care costs to boot.

But to be honest, I’m not seeing a lot of these stories being told. To be sure, some are. Amy Lynn Smith has done a beautiful job chronicling people’s health care stories for years right here. Sarah Kliff has done the same for Vox and Jonathan Cohn has for Huffington Post. But cable news, local TV affiliates and newspapers — which can’t seem to get enough of stories about Trump supporters who still love the president no matter what — are largely ignoring the personal stories of tens of millions of people who will be hurt by Trumpcare.

I expect that this will change if Trumpcare becomes law and more journalists see their grandmothers tossed out of nursing homes, their best friend who can’t get opioid addiction treatment or their newly retired uncle unable to afford insurance.

But that’s no excuse for failing to cover the impact of massive legislation before it’s passed. And when you’re talking about a bill that affects tens of millions of people, I can almost guarantee that your audience would watch, read and react to these stories — which is exactly what outlets should want.

Wake Up and Smell the Freedom Not to Have Health Coverage

The U.S. House Republicans' super-secret Obamacare replacement is out and it's all about freedom.

Yes, if you're one of the 20 million Americans who gained health insurance through the Affordable Care Act, you may soon enjoy the freedom of no longer being covered. We don't know how many people will be covered, but even Republicans acknowledge that it will be a lower number than the ACA.

As President Donald Trump finally noticed last month, health policy is kinda complicated. So it will be awhile before we know all the details of the GOP plan. But one key element to reducing coverage is that they'd end the federal funding in 2020 for states who expand Medicaid. Currently, 31 states, including Michigan, have expanded Medicaid to cover 10 million people.

That could definitely put Michigan's program in jeopardy. Gov. Rick Snyder had to fight tooth and nail with his fellow Republicans in the Legislature just to get the expansion in the first place. The Legislature has only gotten more conservative since then and Snyder is term-limited next year. It's easy to imagine a Gov. Bill Schuette, who fought Obamacare all the way up to the U.S. Supreme Court, joining together with GOP lawmakers to scrap Michigan's Medicaid expansion.

There are 640,000 Michiganders who now have health coverage due to the expansion — more than 6 percent of the state's population. Yanking away health insurance from them would be unnecessarily cruel. And it's not even smart economic policy. The expansion will have a $432 million impact this year, according to a University of Michigan study commissioned by the New York-based Commonwealth Fund. And that's created 30,000 jobs. Given the fact that Trump goes around irresponsibly taking credit for companies keeping a couple hundred jobs in the United States, you'd think that losing 30,000 jobs in just Michigan alone might give him pause.

There are many other ways that people could lose their health insurance under the GOP plan. Insurance subsidies for low-income people would be replaced with age-based subsidies, which would likely reduce benefits and the number of people who are insured. The New York Times reports that people with preexisting conditions "would face new uncertainties in a more deregulated insurance market." And the plan cuts off funding to Planned Parenthood.

But at least people who didn't want to buy health insurance will escape paying that freedom-sucking penalty, right? Well, yes ... but if you let your insurance coverage lap because you've changed jobs, didn't want to pay for it, etc., the GOP plan allows insurance companies to sock you with a 30 percent premium increase. That's probably going to be a much bigger hit to your wallet.

The Republican concept of freedom always seems to come with a lot of not-so fine print.

If there's one thing Americans love, it's when politicians meddle and make things worse. And they really love having things taken away from them. So this new GOP plan should really go over well.