The good news is that Jeb Bush agrees with us that income inequality is one of the biggest problems America is facing today. He’s so concerned about income inequality, in fact, that he’s named his presidential PAC Right to Rise, supposedly to honor his belief that Americans should be able to transcend class through hard work and dedication. That’s the good news. The bad news is that Jeb Bush doesn’t seem to understand what income inequality is.
Don’t believe me? Politico’s Jennifer Haberkorn recently published a piece recounting Jeb Bush’s thoughts on the Affordable Care Act. Unsurprisingly, Bush calls Obamacare a “monstrosity.” This is not a surprise; Republicans have been battering their thesauri into coughing up synonyms for “Nazism” ever since the Affordable Care Act was first proposed. But Bush’s proposed replacement for Obamacare–remember, his team wants us to believe he’s supposedly the smart one in his family–is jaw-droppingly dumb. Get a load of this:
“The effort by the state, by the government, ought to be to try to create catastrophic coverage, where there is relief for families in our country, where if you have a hardship that goes way beyond your means of paying for it, the government is there or an entity is there to help you deal with that,” Bush said in Iowa last weekend. “The rest of it ought to be shifted back where individuals are empowered to make more decisions themselves.”
There’s so much to unpack in this statement that I’m not even sure where to begin. First of all, I guess, let’s be clear that catastrophic coverage for the poor is exactly the health care system we had before Obamacare passed. Health care for poor people meant that they only went to the emergency room when they absolutely had to, when their health became a matter of life and death, and then they had to skip out on the bills because they couldn’t afford them. This made everyone’s health care bills higher. So to formalize catastrophic care into the standard health care for America’s poorest citizens would mean we’d be denying a huge percentage of the population access to preventative care, to basic check-ups, to screenings and vaccinations and all the medical care that every single American should be allowed to enjoy.
Secondly, it sounds to me that in the above quote, Bush is suggesting that we ought to adopt some sort of single-payer catastrophic health care plan, which is in some ways an even more liberal concept than Obamacare. If we establish a safety net of catastrophic coverage for every American citizen—albeit a safety net that hangs about two feet above an unforgiving concrete floor—does that mean we’ll have catastrophic death panels to determine when to cut coverage off? Will there be a catastrophic tax to pay for the catastrophic coverage? What’s to stop some future Democratic president from upgrading catastrophic single-payer coverage into Canadian-style single-payer coverage? Did Bush think this idea through at all?
The questions keep hurtling into my head faster than I can process them. Does Bush think he’ll actually be able to sell this idea—and it’s frankly charitable to even call it an “idea”—to the American voting public? Is America ready for a health care system as horrifically imbalanced in favor of the wealthy as our economic system is? Does Bush really expect poor people to swallow this? Is his message of hope for the poor people of America really going to be “you’re only allowed to visit a doctor on the single worst day of your life?”