# What is the GOP's endgame with the American Healthcare Act?

**URL:** <https://boards.straightdope.com/t/what-is-the-gops-endgame-with-the-american-healthcare-act/781904>\
**Category:** Politics & Elections\
**Created:** [March 10, 2017, 9:20pm UTC](https://boards.straightdope.com/t/what-is-the-gops-endgame-with-the-american-healthcare-act/781904 "2017-03-10T21:20:45Z")\
**Posts on this page:** 1\
**Showing post:** 107

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**Author:** ![ThelmaLou](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/thelmalou/32/390_2.png) [@ThelmaLou](https://boards.straightdope.com/u/ThelmaLou)\
**Post date:** [March 15, 2017, 2:29pm UTC](https://boards.straightdope.com/t/what-is-the-gops-endgame-with-the-american-healthcare-act/781904/107 "2017-03-15T14:29:52Z")

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This is pretty clear statement of the endgame.

[The AHCA’s Tradeoff: Giving Up Vital Care to Get Tax Cuts for the Rich](https://www.theatlantic.com/business/archive/2017/03/ahca-economics/519498/?utm_source=feedburner&utm_medium=feed&utm_campaign=Feed%3A+TheAtlantic+%28The+Atlantic+-+Master+Feed%29)

My bold.

> [@](#):
>
> If the terminology of Republican Medicaid policy—“per-capita caps,” “block grants,” “inflation targets”—seems a bit arcane, Monday’s release of the Congressional Budget Office’s report on the GOP’s repeal-and-replace bill makes it pretty simple: **The current health-care proposal is about rationing care to fund tax cuts for the U.S.’s highest earners.**
> 
> In the past, accusations of care-rationing have been a favorite attack on the Affordable Care Act by Republican leaders such as House Speaker Paul Ryan and House Majority Leader Kevin McCarthy. Yet Republican efforts to cap and cut Medicaid make pretty clear that the strategy is to pay for tax cuts that largely benefit the highest earners by **forcing governors to become rationers-in-chief—making painful choices regarding how to best ration or deny health care to those in nursing homes, with disabilities, and/or near the poverty line** (and that’s in addition to the 14 million Americans who are projected to be completely denied Medicaid coverage over the next decade under the Republican proposal). …

And guess who’s in those soon-to-be denied groups? That’s right: people who voted for Trump and believed his lies about protecting them. Sad.

> [@The Repeal of Obamacare/ACA: Step-bystep, Inch-by-inch](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/515):
>
> Oh, the bitter irony.
> 
> “The GOP’s Obamacare replacement is a disaster for some of its most loyal voters”  
> [http://wapo.st/2mPAMIe](http://wapo.st/2mPAMIe)
> 
> > [@](#):
> >
> > Quote:  
> > …It’s a nationwide pattern: Some of the harshest consequences of the GOP’s health bill would fall on rural Republican strongholds — precisely the voters who helped electTrump.
> > 
> > Among the counties where Trump won his biggest victories, nearly all would face deep cuts in tax credits under the Republican plan to replace Obamacare. And, in the parts of the country that would lose the most in tax credits, a majority of voters wereTrump supporters…
> 
> Why do I feel that when the story gets told, it will somehow turn out to be Obama’s fault?

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