As we all know, the United States is the only first-world country without a national health-care program. While the approaches differ, most advanced countries consider access to healthcare a human right–not a consumer product. Here in the US, efforts to extend that access–Medicare, Medicaid, and more recently the Affordable Care Act–have been met with hysterical claims that such programs are “socialism” and incompatible with freedom.
I’m not the first person to note that these critics don’t seem nearly as upset by programs that can accurately be labeled “socialism for the rich.” Increasingly, American economic policy, with its generous tax advantages and outright subsidies, seems to be socialism for the rich and brutal capitalism for the poor. But a dissertation on that topic is for another day.
The scolds who resent any effort to make health insurance more affordable or accessible are among those who have produced the Heritage Foundation’s Project 2025, so we shouldn’t be surprised by the Project’s health care proposals. Neither should we con ourselves into believing that Project 2025 isn’t an outline that Trump will follow if elected–there is ample evidence to the contrary.
So–what health policies would another Trump Administration pursue?
A doctor writing in Time Magazine has recently explained why voters need to understand that agenda–especially when it comes to healthcare– and take it seriously.
Sponsored by the right-wing think tank, the Heritage Foundation, the Project 2025 policy agenda was written by more than 400 conservative experts and published in a book titled Mandate for Leadership: The Conservative Promise. While Trump has publicly disavowed the initiative, he has endorsed (and even tried to implement) many of its core proposals, several of which were penned by his former staffers.
The Biden Administration’s Inflation Reduction Act (IRA) has made life-saving drugs like insulin more affordable. Project 2025 calls for its repeal.
The Inflation Reduction Act (IRA)—signed into law by President Biden two years ago—capped insulin costs at $35 per month for people on Medicare. The data show that this cap increased the number of insulin prescriptions that were filled, ensuring more patients with diabetes got what they needed to stay healthy. The IRA will also cap annual out-of-pocket spending on prescription drugs (not just insulin) for seniors starting next year. And despite aggressive lobbying and legal challenges from drugmakers, the law empowered Medicare to negotiate prices with Big Pharma for the first time in history, achieving significant discounts and saving billions. These are just a few of the many reasons more than 500 health professionals recently signed an open letter to protect the IRA.
Other provisions of Project 2025 would reduce access to Medicaid. Currently, more than 70 million low-income Americans rely on Medicaid for health care. The Project proposes lifetime caps on benefits and the addition of work requirements as a condition for coverage, among other onerous changes.
Unsurprisingly, Project 2025 would not only restrict abortion at the national level, it would also eliminate no-cost coverage for some contraception. (Those Right-wingers really want women to breed….) Of course, once children have been produced, concern for their welfare vanishes.
Project 2025 takes particular aim at the well-being of children. The authors seek to prevent public health agencies from requiring vaccination in school children, which could cause more outbreaks of preventable diseases like measles. They also propose invalidating state laws intended to stem gun violence, a leading cause of death for children in the U.S. Project 2025 would even eliminate Head Start, a critical program for early childhood development, especially in low-income and rural communities.
As the doctor writes, implementation of even a few of these proposed policies would set back decades of progress in medicine and public health.
The Harris/Walz ticket has used the slogan “We Won’t Go Back.” The usual interpretation of that phrase is that it refers to women’s reproductive liberty, but it actually–and accurately– describes what is really at stake in November’s election. MAGA is a movement entirely focused on taking America back–back to a time when women were property, Black and Brown people second-class citizens, LGBTQ+ people closeted, and adequate medical care a consumer good available only to those who could afford it.
I don’t know when opposition to vaccination and common-sense public health measures became part of the ideology of the Right. I don’t know why MAGA folks think the working poor aren’t entitled to health care. I don’t understand their evident belief that government should cater to White Christian males to the exclusion of other citizens.
But I do know they’re stuck in a past that I don’t want to return to. When people say this election poses an existential choice, they aren’t engaging in hyperbole.
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