Healthcare

Budget Director: Insurance Coverage Isn’t Our Goal

JM Ashby
Written by JM Ashby

I feel like this is both true and also not something Mulvaney should state so bluntly if he wants to further his cause.

Office of Management and Budget director Mick Mulvaney appeared on MSNBC this morning where he confessed that covering people isn't the goal.

“We’re looking at it in a different way, Mark, because insurance is not really the end goal here, is it?” Mulvaney responded. “It's one of the conservatives' – one of the Republicans' complaints about the Affordable Care Act from the very beginning: It was a great way to get insurance and a lousy way to actually be able to go to the doctor."

If insurance coverage isn't the goal, what is the goal?

“So we’re choosing instead to look at what we think is more important to ordinary people: Can they afford to go to the doctor? And we are convinced it will be possible for more people to get better care at the doctor under this plan than it was under Obamacare.

The idea that more people will be able to see a doctor without insurance is fucking farcical, to say the least. Some doctors may not even see patients without health insurance. And, depending on the doctor and the nature of your problem, a single visit could cost thousands of dollars.

I'm sure you recall that Trump said his healthcare plan would include "insurance for everybody," but I find that to be barely worth mentioning outside of the opportunity to point out that he's a liar. But I'm not sure that's even true. To say that he "lied" is to say that he actually understands any of this. I don't think he does. Trump doesn't understand a goddamn thing. Trump and Trumpism is one big vacuous fraud.

Until such time this country comes to its senses and passes Medicare-for-all, insurance is all we have.

  • notoriousbob

    Ive seen this odd justification for cutting people’s insurance; “yeah, they technically had coverage under ACA but they couldn’t actually afford to see the doctor, so our plan might kick some people off insurance, but people will actually be able to see a doctor if they want”. But doesn’t that just send the message to those millions of people that are then uncovered that you are expendable? IE to make an omelet you have to break a few eggs? Just seems odd.

  • Badgerite

    Headline: Budget Director: Insurance Isn’t Our Goal.
    Me: No shit. What was your first clue?

  • Scopedog

    “We’re looking at it in a different way, Mark, because insurance is not really the end goal here, is it?” Mulvaney responded.

    Oh for the love of God….

    https://uploads.disquscdn.com/images/ad32e3e9fc45bffb34a6dfe893b88de2a9b7ba7f2b62bec411653c519cfe0e9b.gif

  • Christopher Foxx

    one of the Republicans’ complaints about the Affordable Care Act from the very beginning: It was a great way to get insurance and a lousy way to actually be able to go to the doctor.

    Um, hello, hello. Anybody home? Hey, think, Mulvaney. Think.

    Insurance is how people are able to afford to see a doctor.

    http://stream1.gifsoup.com/view7/3446212/hello-mcfly-o.gif

  • Badgerite

    If insurance isn’t the goal, what is? Because of the Affordable Care Act and its employer mandate, I now have insurance that is as good as Medicare in terms of coverage and at what is to me an exceptionally affordable price. Compared to what this employer offered before, which would have covered perhaps an ingrown toenail but not much more, it is night and day. What is this twerp talking about? I don’t need to go to a doctor much because I am reasonably healthy. But were I sick, the Affordable Care Act would be crucial to my being able to afford to see a doctor for anything beyond a cold or flu bug. And Ryan’s ‘Better Way’ and its punitive 30% surcharge on insurance premiums if you should for any reason find yourself without insurance for 64 days is a very strong disincentive to have any insurance and therefore a disincentive to go to a doctor if you have a health concern. Bottom line is that this guy puts on the smile of a serial killer at the prospect of inflicting the most misery on his victims. It is disgusting.
    What the GOP is proposing is once again to ration care based on income and wealth for the tax credits can only be redeemed at the end of the year after the person or family has managed to come up with the funds to purchase insurance themselves.
    People who can’t afford that kind of out of pocket expense of paying insurance premiums for a year will not be able to get the credit or insurance. And if and when they would get in a position to afford such premiums, there would be a 30% surcharge tacked on for a year that goes to the insurance company making it even less likely they would ever be able to afford insurance. No insurance. No healthcare. That’s the way it works in America. And any serious illness is very likely to kill you even if there is a treatment available that could save your life or the life of a loved one. Paul Ryan grinning about this is just plain ghoulish.
    I was raised Catholic. I can’t say as I recognize that kind of attitude in any of the teachings of Christ or the RCC.

  • Aynwrong

    If the mainstream media behaved anything like Conservative media this interview would become notorious and haunt the GOP and Trump for years to come. It’s not so it won’t. Also policy being effective is the last thing any Republican cares even the slightest about so they can’t necessarily be trolled relentlessly the way the D’s can and of course if there’s one the GOP absolutely excels at it’s getting all there people on the same page to tell the same lie relentlessly. D’s couldn’t get on the same page to tell the truth if they were assimilated into the Borg.

    If the D’s would like to do themselves a favor, take that interview, turn into a sound bite e-mail the shit out of it and then start holding town halls of their own and play that clip on movie screens all over the country for audiences to see.

    To use a favorite phrase of the right: Ram it down their throats!

    • Christopher Foxx

      If the D’s would like to do themselves a favor, take that interview, turn into a sound bite and e-mail the shit out of it.

      It’s not like the R’s haven’t presented them with fodder to do exactly that kind of thing almost weekly.

      • Aynwrong

        So how much do Borg nano-probes go for these days?