By DAVID ESPO
AP Special Correspondent
Congressional Republicans are waging war against a hapless website and hoping it leads to the destruction of “Obamacare,” the health care program they loathe so fervently.
As a tactic, it’s no more likely to succeed than this autumn’s self-wounding decision by Republicans to force a partial government shutdown and flirt with default on the national debt. Or the dozens of previous GOP attempts to defeat, defund or delay the law. Or their unsuccessful bid to have the Supreme Court declare unconstitutional the signature program of President Barack Obama’s first term.
Rather than political or legal arguments determining its fate, it’s likely the health care overhaul will succeed or fail based on the reaction of millions of Americans in search of coverage.
“Let me remind everybody that the Affordable Care Act is not just a website. It’s much more,” Obama said last week as he took the lead in his administration’s efforts at damage control over the major online problems in the programs’ first signup month. He said that because of the law, which has been taking effect in stages for three years, “preventive care like mammograms and birth control are free through your employers,” young people up to age 26 can remain on their parents’ coverage plans and some seniors are paying less for their prescription drugs.
Republicans skip over any well-received benefits the law might have bestowed. Instead, they speculate that the website is a gateway not to health care coverage but to bigger and more painful failures in the near future.
“Will enrollment glitches become possible provider payment glitches? Will patients show up at their doctor’s offices or hospitals to be told that maybe they aren’t covered or even in the system?” asked Rep. Fred Upton, R-Michigan, as he chaired a hearing of the House Energy and Commerce Committee on Thursday.
Democrats were having none of it, even though they express their own frustration and anger at the debut of the website.
Ironically, the roles were reversed a decade ago, when the Bush administration struggled to implement a new prescription drug benefit under Medicare. Many Democrats had voted against the change and harshly criticized it, yet they failed to turn it into a winning issue in 2004.
Obama may yet find himself agreeing to big changes in the law.
There is growing Democratic sentiment inside Congress for a one-year delay in the requirement for individuals to purchase coverage, given the difficulty with the website. Senators on the ballot in 2014 are nervous. Support inside both parties is strong for repealing a medical device tax contained in the law.
For now, though, the focus is the website, a problem the administration insists it can and will fix.
Republicans’ decision to seize on the flawed roll-out comes as the party is desperate to shift the public’s attention away from the recent partial government shutdown and the clash over the debt ceiling, and resurrect an issue they hope will benefit them in next year’s elections.
No wonder, since every new poll seems to bring more bad news for the GOP.
Among them was a finding in a recent Washington Post-ABC survey that only 20 percent of those questioned said Republicans are generally interested in doing what’s best for the country, with 77 percent saying the GOP is acting out of political self-interest. The 20 percent figure drops to 14 percent among independents, who probably hold the key to victory in next year’s midterm elections.
Nor are Obama and congressional Democrats alone in discerning purpose in the law, a major part of which allows states to expand health care to the poor by easing income restrictions under Medicaid.
After a long struggle, Republican Gov. John Kasich of Ohio prevailed last week over inter-party critics in the Legislature, and his state became the latest to agree to the expansion. “We’ve improved both the quality of care from Medicaid and its value for taxpayers,” he said in a statement.
Republican governors in Arizona, Michigan, Pennsylvania and elsewhere have backed the Medicaid expansion in their states.
Funding for the expansion comes entirely from the federal government for the first two years. Even so, several Republican governors and legislatures have chosen to decline it. Republicans have not yet offered an alternative to the law.