Tracker Pixel for Entry

​Donaldcare vs. Obamacare

Letters to the Editor | June 16th, 2017

To the editor:

I read the article by Jon Godfread, the current North Dakota Insurance Commissioner, in the May 25th issue of the Reader. He used the space allotted to him to to lambast the Affordable Care Act, while giving a more or less positive spin to the recent Republican bill called the American Health Care Act (ACHA), a proposal that was passed by the House of Representatives only, and by a slim majority. His theme was to have “an honest and truthful discussion regarding what the ACHA is and what it is not”.Perhaps I can submit this piece to give a different point of view.

As an aside, it’s interesting that he, like most Republicans, insists on using the derogatory term “Obamacare” when referring to the Affordable Care Act (ACA) in his article. Such an op-ed piece published under the auspices of the Office of the Insurance Commissioner would imply that his opinion is based on a certain expertise and “above the fray”. But I think that his analysis is very partisan because it omits many of the flaws in the bill passed by members of his own political party. To avoid the alphabet soup problem, I think it’s easier to refer to the proposed repeal of the current law of the land as “DonaldCare”.

Is there anything more we might want to know in our honest and truthful discussion of the AHCA (i.e. “DonaldCare”)? Since nothing in life is free, the benefits of the ACA (the current law of the land) have a number of funding mechanisms. A big one is via federal income tax. Now, most people in ND would not be aware of this particular tax, because it does not kick in until you’ve made over $200,000 a year as an individual. The levy is under one cent on the dollar, so if you’ve made $300,000, you’ve forked over about $900 to Uncle Sam. Then you have to work with your accountant to minimize your tax liability on the other $99,100. But “DonaldCare” abolishes this tax. The program is defunded, and of course premiums rise, and insurance companies head for the exits. Haven’t we seen this before? It’s called a tax cut for the rich.

One true success of the current ACA is funding for Medicaid expansion. But “DonaldCare” cuts this. Any North Dakota officeholder who backs this bill is turning down federal dollars earmarked for Medicaid that would help residents of his or her state. Go figure.

How about an opinion from outside North Dakota? The New England Journal of Medicine is about as highly respected as they come in the medical world.

In health care policy analysis, it’s far superior to the Wall Street Journal opinion page.I’ll quote from an article that recently appeared on April 17 of this year entitled “The Art of Repeal – Republicans’ Health Care Reform Muddle.”

A key passage states “The CBO [Congressional Budget Office} report on the ACHA [the Republican plan], which projected that it would increase the uninsured population by 24 million, was devastating. It exposed the fact that repealing Obamacare meant not improving American medical care, as Republicans promised, but making insurance less affordable, less comprehensive, and less secure for millions of Americans.

For me, this evidence is that what “DonaldCare” is, is a bad bill. Hopefully it will die in the Senate. As someone who has worked in health care for over thirty years, my opinion is that we need to keep what we currently have and improve it.

Eventually, our goal should be single-payer, universal health care, for all Americans.

-Joseph Sleckman, MD

Fellow, American College of Physicians

Member, First District Medical Society

Recently in:

By Alicia Underlee NelsonMore than 1,000 pro-worker events are planned for Thursday, May 1 across the country, including rallies in Fargo-Moorhead, Grand Forks, Minot and Jamestown. East Grand Forks and Bismarck will host protests…

From concerts and car shows to Japanese art and Juneteenth celebrations, there's so much going on around the region this summer. This year's High Plains Reader Summer Events Calendar is back and bigger than ever. It's packed with…

June 21, 11 a.m. - 11 p.m.Fargo Theatre, 314 Broadway N., Fargo“We Watch Shudder,” Fargo’s favorite horror podcasters, bring on the darkness during the longest day of the year. The Darkest Day of Horror Film Festival features…

By John Strandjas@hpr1.com One description that perhaps aptly describes the mental state of many lately is that they feel they are attached to a string. Or several strings. Call it the notion that people are played like puppets,…

By Ed Raymondfargogadfly@gmail.comFor sale: White House in D.C. housing dung beetles and giant leechesI suspect someone close to Donald Trump has read “The Rise and Fall of the Third Reich,”because the Trump administration is…

By Rick Gionrickgion@gmail.com Holiday wine shopping shouldn’t have to be complicated. But unfortunately it can cause unneeded anxiety due to an overabundance of choices. Don’t fret my friends, we once again have you covered…

By Rick Gionrickgion@gmail.com After a very inspiring conversation with Kayla Houchin of Sonder Bakehouse a few weeks ago, I decided that it’s an appropriate time to write a column about some of the sweet people who are involved…

Mooncats and Pert Near Sandstone play Empire TheatreBy Sabrina Hornungsabrina@hpr1.comThe MoonCats describe themselves as “Americonscious Campfire Folk.” They have a clear acoustic folk sound with a sense of whimsy — think…

By Greg Carlsongregcarlson1@gmail.com Filmmaker Antonella Sudasassi Furniss constructs an engaging sophomore feature with “Memories of a Burning Body,” selected by Costa Rica to be entered for consideration as a possible Oscar…

By Raul Gomezraul@hpr1.com Minutes before Modern’s Celebration of Life opened its door at the Sons of Norway, I was fiddling with the bar computer, trying to pull up the playlists of Modern’s work I had set aside for the…

By John Showalterjohn.d.showalter@gmail.comHigh Plains Reader had the opportunity to interview two mysterious new game show hosts named Milt and Bradley Barker about an upcoming event they will be putting on at Brewhalla. What…

By Annie Prafckeannieprafcke@gmail.com AUSTIN, Texas – As a Chinese-American, connecting to my culture through food is essential, and no dish brings me back to my mother’s kitchen quite like hotdish. Yes, you heard me right –…

By Sabrina Hornungsabrina@hpr1.comNew Jamestown Brewery Serves up Local FlavorThere’s something delicious brewing out here on the prairie and it just so happens to be the newest brewery west of the Red River and east of the…

By Ellie Liveranieli.liverani.ra@gmail.com There appear to be differences in the incidence of mental illnesses between men and women. For example, women are more likely to be diagnosed with depression, post-traumatic stress…

By Alicia Underlee NelsonProtests against President Trump’s policies and the cuts made by Elon Musk’s Department of Government Efficiency (DOGE) are planned across North Dakota and western Minnesota Friday, April 4 and…

By Vern Thompsonvern.thompson.nd7@gmail.com Our trucking business has me driving almost daily from gas plants in western North Dakota's oil patch to Canada. I haul natural gas liquids (NGLs) products we used to see flared off at…