Dissension in Republican ranks didn’t prevent Repeal and Replace. Poverty did.
Think about it: Medicaid now provides for the medical needs of one in five Americans. That’s 74 million people. Even more:
Medicaid now provides medical care to four out of 10 American children. It covers the costs of nearly half of all births in the United States. It pays for the care for two-thirds of people in nursing homes. And it provides for 10 million children and adults with physical or mental disabilities.
As the New York Times notes, Medicaid was a mere footnote when Lyndon B. Johnson signed the Social Security Amendments of 1965. Now, however, the U.S. economy has so impoverished the nation’s population that Medicaid has surpassed Medicare in the number of Americans it covers.
So many Americans rely on Medicaid it was politically impossible to garner enough support, from Democrats and at least some Republicans, to repeal Obamacare and replace it with a plan that gave tax breaks to the rich in exchange for decreasing health coverage for the growing ranks of the poor.
The problem, as it turns out, is not the health system. It’s the nation’s impoverishment.