Republicans Leap Into the Awful Known in Healthcare

In Healthcare, Misleading Information, Paul Krugman On
- Updated

lready attacking the C.B.O.’s credibility, announcing in advance that whatever it says will be “fake news.” So why should we believe the budget office, not the Trump administration? Let me count the ways.

First, this White House already has a record of constant, blatant lying about health care that is, as far as I can tell, without precedent in modern history. Just a few days ago, for example, Vice President Mike Pence made the completely false assertion that Ohio’s expansion of Medicaid led to a cutback in aid for the disabled — a lie that the state’s government had already refuted. On Sunday, Tom Price, the secretary of Health and Human Services, claimed that the Senate bill would cover more people than current law — another blatant lie. (You can’t cut hundreds of billions from Medicaid and insurance subsidies and expect coverage to grow!)

The point is that on this issue (and others, of course), the Trump administration and its allies have negative credibility: If they say something, the default assumption should be that they’re lying.

. . .

But Republicans have never made that case. Instead, at every stage of this political fight they have claimed to be doing exactly the opposite of what they’re actually doing: covering more people, making health care cheaper, protecting Americans with pre-existing conditions. We’re not talking about run-of-the-mill spin here; we’re talking about black is white, up is down, dishonesty so raw it’s practically surreal. This isn’t just an assault on health care, it’s an assault on truth itself.

Will this vileness prevail? Your guess is as good as mine about whether Mitch McConnell will hold on to the 50 senators he needs. But the mere possibility that this much cruelty, wrapped in this much fraudulence, might pass is a horrifying indictment of his party.

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