I am sure I will have some commentary on the outcome of the November 7 election in future columns, but as I write this column results are not yet known. No matter the outcome, I share the frustration experienced by many with the negativity that seems to inevitably overtake campaigns with high stakes. Political operatives who provide the advice upon which campaigns are planned continue to insist that negative advertising wins elections as it gets people’s attention and creates a fear or anger that moves voters to take part. I am not sure if anyone has measured how many people get turned off and decide not to vote because of the vicious ads.
Even more concerning to me than the half-truths and falsehoods that have slipped into campaigning is the cruelty that has moved into the operation of government. After years of complaining about the Affordable Care Act while in complete control of the Congress and now also the presidency, the Republicans have not been able to repeal and replace what they came to call Obamacare. The reason might simply be that provision of health care to all with coverage for pre-existing conditions in a developed nation is the right thing to do. Failing to achieve legislative success, the administration has set about trying to kill the program through administrative actions and neglect. That is where the cruelty sets in.
The first effort at killing the program came with an executive order to withhold subsidies which allowed insurance companies to keep premium increases to a minimum. With the loss of the subsidies, Anthem pulled out of Virginia in August leaving 60 jurisdictions with no insurer offering coverage; they reversed their action after intense efforts by Governor McAuliffe. The loss of federal support will be devastating in Virginia where 240,000 Virginians rely on subsidies to be able to afford insurance. There clearly must not be a lack of money in Washington with the huge tax cuts now being proposed for the very wealthy.
The cruelty does not end there. To reduce the program further the advertising budget to remind persons about open enrollment was slashed by 90 percent, and the time to enroll was reduced from 12 weeks to 6 weeks. The open enrollment started November 1 and will close on December 15. Tell anyone you know who might be eligible and spread the information through social media programs in which you participate that open enrollment ends on December 15.
A final crippling blow could be the administration announcement that it will not enforce the individual mandate that has been critical to keeping costs down by spreading the risk across a wide pool of participants. As though this is not enough, the Republican Congress and administration failed to reauthorize the Children’s Health Insurance Program (CHIP) that provided care to 65,000 children and 1,100 pregnant mothers in Virginia. We have a new insurance program in place in this country; it is called Trumpcare. It is a very cruel system!