Health-care expert Larry Levitt says it’s the Republicans who own Obamacare now—and here’s what they can do with it.
“Obamacare, unfortunately, will explode,” President Donald Trump said on Friday afternoon after House Republicans pulled their bill to repeal and replace the Affordable Care Act, a stunning defeat seven long years—and 18 sudden days—in the making. A glum House Speaker Paul Ryan, the architect of the doomed bill, was forced to acknowledge “Obamacare is the law of the land,” but likewise warned that the current system is unsustainable.
But is it? It’s true that the big problems of skyrocketing premiums in certain states and insurance companies backing out of the exchanges set up under the 2010 law have yet to be solved. Even Democrats admit that. But will Obamacare really explode in one big death spiral? Trump has repeatedly said Republicans would be better off letting it fail in the hopes that votes will blame Democrats when they next go to the polls in 2018.
We tried to pare back some of the spin and grandstanding in the wake of Friday’s no-vote and talk to someone who knows health care inside and out: Larry Levitt, senior adviser at the Kaiser Family Foundation and former senior health policy adviser to the White House. He told us what might really become of Obama’s signature health law in the months and years to come.