A new NBC News/Wall Street Journal poll has some bad news for President Trump and Republicans in Congress: 48% of Americans think that TrumpCare is a bad idea and only 23% think it is a good idea.
In contrast, support for the ACA (Obamacare) has remained relatively strong with 43% of Americans who say it is a good plan.
To be clear: 43% of Americans approve of Obamacare and 23% of Americans approve of TrumpCare.
While the Senate will largely start from scratch in the effort to move health care legislation forward, two of the most important factors in crafting the next iteration of the bill include:
- Public Opinion – Senators who have broader and more diverse constituencies than many House members have to be mindful of the impact across their entire state. Senator Rob Portman (R-OH), for example, has roughly 700,000 constituents who have taken advantage of Medicaid expansion under Obamacare in the state of Ohio. While Portman is not up for re-election until 2022 he has to mindful of the 700,000 voters he could potentially alienate by voting for TrumpCare.
- Cost – Republicans in the House of Representatives passed the AHCA with no Democratic support and no clear idea of the financial and human cost of the bill. The AHCA is likely to be scored by the Congressional Budget Office next week and most Republican senators have indicated that they won’t vote on a modified version of the bill before its impact is clearer.
President Trump and GOP members of Congress are accountable to the electorate – not just the wealthiest Americans who stand to gain the most from repeal of Obamacare – and an important snapshot of the electorate feels by a 2 -1 margin that they are headed in the wrong direction on health care.
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