With the health care system threatened, Obama speaks up

In the American tradition, former presidents tend to say very little about their successors. And with this in mind, while Barack Obama has no doubt been tempted in recent months to condemn Donald Trump and his actions, Obama has been restrained, giving the new president a wide berth.

But just a couple of days before Trump’s inauguration, Obama acknowledged that while the White House and Congress would make their own determinations about the nation’s direction in the coming years, and he intended to stay out of it, that principle is not absolute.

“There’s a difference,” Obama said, “between that normal functioning of politics and certain issues or certain moments where I think our core values may be at stake.”

Less than two weeks after leaving office, this led Obama to issue a statement responding to the Trump White House’s proposed Muslim ban. This afternoon, with the American health care system in peril, the former president spoke up again, this time via social media.

The Democrat’s 1,000-word statement is worth reading in its entirety, and it clearly has more than one audience in mind. Part of Obama’s message clearly intends to encourage health care advocates and their allies to remain engaged and fight to prevent the nation from falling backwards.

But the other part of the message appears to be a challenge to Republican policymakers to do the right thing:

“[I have been careful] to say again and again that while the Affordable Care Act represented a significant step forward for America, it was not perfect, nor could it be the end of our efforts – and that if Republicans could put together a plan that is demonstrably better than the improvements we made to our health care system, that covers as many people at less cost, I would gladly and publicly support it.

“That remains true. So I still hope that there are enough Republicans in Congress who remember that public service is not about sport or notching a political win, that there’s a reason we all chose to serve in the first place, and that hopefully, it’s to make people’s lives better, not worse.

“But right now, after eight years, the legislation rushed through the House and the Senate without public hearings or debate would do the opposite. It would raise costs, reduce coverage, roll back protections, and ruin Medicaid as we know it. That’s not my opinion, but rather the conclusion of all objective analyses, from the nonpartisan Congressional Budget Office, which found that 23 million Americans would lose insurance, to America’s doctors, nurses, and hospitals on the front lines of our health care system.

“The Senate bill, unveiled today, is not a health care bill. It’s a massive transfer of wealth from middle-class and poor families to the richest people in America. It hands enormous tax cuts to the rich and to the drug and insurance industries, paid for by cutting health care for everybody else. Those with private insurance will experience higher premiums and higher deductibles, with lower tax credits to help working families cover the costs, even as their plans might no longer cover pregnancy, mental health care, or expensive prescriptions. Discrimination based on pre-existing conditions could become the norm again. Millions of families will lose coverage entirely.

“Simply put, if there’s a chance you might get sick, get old, or start a family – this bill will do you harm. And small tweaks over the course of the next couple weeks, under the guise of making these bills easier to stomach, cannot change the fundamental meanness at the core of this legislation.

“I hope our Senators ask themselves – what will happen to the Americans grappling with opioid addiction who suddenly lose their coverage? What will happen to pregnant mothers, children with disabilities, poor adults and seniors who need long-term care once they can no longer count on Medicaid? What will happen if you have a medical emergency when insurance companies are once again allowed to exclude the benefits you need, send you unlimited bills, or set unaffordable deductibles? What impossible choices will working parents be forced to make if their child’s cancer treatment costs them more than their life savings?

“To put the American people through that pain – while giving billionaires and corporations a massive tax cut in return – that’s tough to fathom. But it’s what’s at stake right now. So it remains my fervent hope that we step back and try to deliver on what the American people need.”

GOP senators, who refused to work with Obama on health care during his two terms, are likely to ignore this advice. The vote is expected a week from today.