Random Observations on the CBO Score of the Senate's

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Jun 26, 2017 at 8:22 PM 219

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Random Observations on the CBO Score of the Senate's "Health Care" Bill

The Congressional Budget Office is out with its analysis of the Senate's bullshit version of the House's bullshit so-called "health care" bill (which is actually just a fancy way of saying, "Tax cuts for rich fucks" .

The title of the Senate bill is even stupider than the "American Health Care Act." It's the "Better Care Reconciliation Act" because, see, it's better, get it? Except, of course, not really.

1. When you hear anthropomorphic banana slug Mitch McConnell or bitch-faced John Cornyn or portly salesman Donald Trump dismiss the CBO score as "politically-motivated" or some such nonsense, just remember: the reason that Senate GOP majority allegedly started from scratch on a bill repealing parts of the Affordable Care Act is that the House bill was too harsh.

How did they know it was too harsh? Because of the fucking CBO score of what the effects of the bill would be. The wacky-ass House voted before the CBO estimates came out, so the mighty Senate was going to be all grown up about it by having a he-man woman-haters club of male Republicans write the bill in super-secret and then attempt to ram it through like a fist into an unlubed sphincter.

1a. Oh, they talked a big game way back in early May. Sen. Lamar Alexander said, "There will be no artificial deadlines." Which is just hilarious now since Alexander chairs the committee that deals with health care issues and they will not be having any hearings.

2. As you've probably read by now, the BCRA is estimated to boot 22 million Americans off their health insurance, with 15 million of those losing coverage next year. And you gotta give the GOP a little credit here for not kicking everything down the road.

They'll get to look their constituents in the face and say, "Yeah, fuckos, I took away your cancer treatments and got you hooked even deeper on opioids. Now vote for me or I'm lettin' the raping Mexicans back in." And those fuckos will probably vote for their GOP member of Congress, thinking that dying of cancer is a fair trade-off if the raping Mexicans stay out.

2a. Most of the people who will lose coverage are on Medicaid, which is gonna get cut to the tune of $772 billion over ten years, and earn less than 200% of the poverty level, with people 55 to 64 getting punched in the tit more than anyone else.

2b. To put this in perspective, about one out of every 20 people in the United States will lose their health insurance next year if this bill passes.

3. There are two things that Republicans are going to point to in this CBO report as some kind of amazingly awesome shit. One is that it says that, by 2026, premiums will be 20% lower than if things kept on like they are now. But that's because the BCRA reduces coverage by allowing states to apply for waivers for things like "maternity care, mental health care, rehabilitative and habilitative treatment, and certain very expensive drugs."

If you don't have to cover mental health or, you know, opioid addiction or, fucking hell, pregnant women, then that'll tend to lower costs.

And this bill will jack up deductibles and cost sharing. In one scenario involving a hypothetical single, 40-year-old man, the CBO says that, because of changes to the law, the same insurance he has now will cover only 58% of care where it used to cover 87%. But his premium will be $100 less a year, so bully for him.

3a. The other big news that Republicans are humping like weasels on Cialis is that the deficit reduction is much more than under the House plan, to the tune of $321 billion over 10 years. So $32 billion a year. Which, in a federal budget of nearly $4 trillion is like a flea fart in a tornado. It's like saying, "Look, I saved money by getting a grande iced mocha instead of a venti. I'm frugal" and you're kind of a douche.

4. Most of the rest of the bill, as analyzed by the CBO (and others), ping-pongs between dickish and cruel. From reducing funds for women's health (including eliminating any money for Planned Parenthood) so that 15% fewer women will have access to care to repealing funding for the Prevention and Public Health Fund, which assists with things like immunizations and research into better health practices to the tremendous hike in premiums for people just below Medicare age to the fact that low-income people simply won't be able to afford insurance, this bill just isn't "mean." It's fucking pathetic and a goddamned embarrassment.

4a. And yet there are Republicans for whom this doesn't go far enough, who don't see this as an Obamacare repeal, who haven't harmed the black president enough, who won't be happy until they're dancing on the bones of their duped voters. But those are the ones who will probably shitcan this thing. Strange bedfellows, motherfuckers, in strange times.

5. But, hey, rich fucks get a half-trillion bucks in tax cuts, so drinks are on them. Lots of drinks. Enough to ease the pain. Because there is no guarantee that this thing's going down, not when you have to rely on alleged moderate Republicans and spineless worms like McCain, not when elected officials and cabinet members feel free to just lie about it without consequence, not when rich fucks can get richer off the diminishing health of the poor and other people they deem unworthy of the security they get to enjoy in their land of the free and home of the savage.

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