Talking Points: GOP Efforts to Sabotage ACA, End Medicaid and Privatize Medicare Will Continue, Despite Repeal and Replace Failures So Far


Every Trump-Republican Senate bill to repeal and replace the ACA with watered-down, more expensive coverage and severe cuts to Medicaid has failed, including the so-called “skinny repeal” that would have taken healthcare away from 16 million Americans, raised premiums by more than 20%, allowed more insurance companies to discriminate against people with pre-existing conditions and given big tax breaks to corporations.

But despite failure in the Senate, GOP leaders still won’t stop trying to take away our health care to give tax breaks to the rich and corporations. Republicans continue their assault on our healthcare with flagrant efforts to sabotage the Affordable Care Act and with cuts to Medicaid and Medicare in the federal budget resolution that are even deeper than those we saw in their repeal bills.

President Trump and Republicans in Congress are Already Sabotaging Obamacare So They Can Renew Their Push for Repeal

Despite clear indications that the majority of the public supports the ACA, rejects repeal and wants politicians to work together to improve the law, President Trump continues his campaign to destabilize the ACA by refusing to implement basic provisions like the individual mandate and the cost sharing reductions that stabilize insurance markets and make coverage affordable for millions. 

  • Trump has said repeatedly that we should let Obamacare collapse and affirmed again after the most recent repeal vote that he plans to “let Obamacare implode” so that there’s a rationale to replace it in the future.
  • President Trump’s administration, including HHS Secretary Price, who is responsible for implementing the ACA have already started to sabotage the ACA by creating chaos and uncertainty, refusing to enforce key provisions and refusing to make critical cost sharing reduction payments that make coverage more affordable for 6 million people who buy insurance on the exchange.
  • The LA Times and other outlets are already reporting on the impact of Trump’s sabotage: “Insurers and State Officials Say Trump is Undermining Obamacare, Pushing UP Rates” (May 18, 2017). Read more to find out what they are saying!!
  • Trump’s Administration is purposely trying to lower enrollment in the ACA by cancelling public education outreach and advertising that help people looking for insurance understand where they can go to get affordable coverage under the law.

TRUMP-RYAN Budget Resolution Cuts Trillions from Medicaid and Medicare to Give Trillions in Tax Cuts to the Rich and Corporations

Republicans are going to give up on dismantling Medicaid and Medicare either. While Senate GOP leader Mitch McConnell and the Republicans were busy trying to move their deeply unpopular legislation to repeal the ACA and make dramatic changes to Medicaid, House Speaker Paul Ryan has been working on a FY2018 budget resolution that would end Medicaid and Medicare as we know them.

The House budget would cut funding for Medicare by $487 billion over 10 years and cut Medicaid and other health care programs by $1.5 trillion over the same period—in order to give massive tax breaks to the richest households and corporations.

  • The budget resolution calls for immediate adoption of the House passed bill (AHCA) that repeals the ACA, eliminates Medicaid expansion, and weakens coverage while increasing out of pocket costs especially for older people.
  • The budget ends Medicaid as we know it by replacing the traditional Medicaid program that for over 50 years has provided health care for seniors, children, people with disabilities, pregnant women and low income people with a per capita cap or block grant that cuts funding permanently and shifts the burden of coverage to states or to the patients themselves.
  • The budget fundamentally changes Medicare—a program Trump vowed not to touch—o that rather than providing guaranteed benefits for seniors, it offers “premium support” or vouchers to purchase more costly private insurance that may or may not cover all of seniors’ health care needs. Just like they Republican plan to end Medicaid as we know it, they are doing the same to Medicare by privatizing it with a voucher system.
  • Includes trillions in tax breaks for the rich and corporations funded by cuts to healthcare and the social safety net. Nearly all—99%–of these tax breaks will go to the top 1% richest households, which will get an annual tax break of $213,000 a year.

We stopped healthcare cuts to fund tax breaks in the repeal bills that were just defeated, but during the August Recess we must up keep up the pressure on Congress and deliver the same clear message:

Don’t Take Away Our Healthcare to Give Tax Breaks to Millionaires and Corporations!

In September, House Republicans will take up the Budget Resolution and hope to get a floor vote so they can then send the bill to the Senate and Trump’s desk. Once again, we must educate our communities about the devastating impact of these proposals and mobilize grassroots activists and impacted people to stop these attacks on our healthcare.