Last month, Anthem announced it would be leaving the Virginia ACA market because the President would not guarantee the federal subsidies that let poor enrollees afford deductibles. As a result, 70,000 Virginians were going to lose their health insurance next year, over 30,000 in your own district.
Fortunately, Anthem changed its mind, announcing last week: “Since learning that 63 counties and cities would not have access to individual health plans, Anthem has been engaged in further evaluation and discussion with regulators to ensure that no bare counties or cities exist in Virginia.”
Your Republican colleague Rep. Griffith expressed thanks: “I am appreciative that Anthem re-entered the market, ensuring that Southwest Virginians will have an option to purchase health insurance in 2018.” Griffith’s congressional district borders yours, and so you share the 40,000 residents of Roanoke and New River valleys who would have lost their insurance.
You, however, did not express thanks. Would you prefer that Anthem not provide healthcare for your neediest constituents? Do you want the ACA market to collapse regardless of the human price?
Last week the Senate Health Committee held its fourth and final hearing on a bipartisan bill to stabilize the ACA insurance markets. Republican Committee chair Senator Alexander and Democrat Committee member Senator Murray hope to introduce a new healthcare bill for a vote this month. It would fund the subsidies that Anthem needs to remain in Virginia. It would create a catastrophe-only coverage option for enrollees. And it would give states more freedom to control rates and plans.
Personally, I think catastrophe-only coverage is a terrible idea, but I understand that many conservatives feel it’s essential for any bipartisan deal. I therefore support it. I also fear that states will have the “freedom” to strip away protections for pre-existing conditions and other essential needs. Still, if the measure brings Democrats and Republicans together, I support it. I assume many conservatives will dislike the cost of subsidies. But that’s the nature of compromise. Both sides must move to the center.
Unfortunately, these bipartisan efforts are being halted by the GOP’s latest and last attempt to repeal the ACA before September 30th, the deadline for the filibuster-preventing reconciliation process. Senator Murray said yesterday: “Republican leaders have decided to freeze this bipartisan approach and are trying to jam through a partisan Trumpcare bill.”
I know you would prefer to repeal the ACA. But if the repeal fails and the Senate passes the Health Committee’s bipartisan bill instead, will you vote for it? I predict the President will describe it as “essentially” a repeal of the ACA anyway and so claim to have accomplished a campaign promise. As long as it gets insurance to the people who need it, I don’t care who takes credit. Do you?