WASHINGTON — Angry Americans voice outrage at being asked to
pay more for health coverage.
Lawmakers and the White House say the public just doesn’t appreciate the
benefits of the new health law. Opponents clamor for repeal before the program
fully kicks in.
The year was 1989, and the law was the Medicare
Catastrophic Coverage Act, which was supposed to protect older Americans from
bankruptcy due to medical bills. Instead it became a catastrophe for Democratic
and Republican lawmakers, who learned the hard way that many older Americans
did not want to be helped in that particular way.
Seventeen months after President Ronald Reagan signed the
measure with Rose Garden fanfare, a series of miscalculations and missteps in
passing the law became painfully evident, and it was unceremoniously stricken
from the books by lawmakers who could not see its demise come quickly enough.
The tortured history of the catastrophic-care law
is a cautionary tale in the context of the struggle over the new health law,
the Affordable Care Act. It illustrates the political and policy hazards of presenting sweeping
health system changes to consumers who might not be prepared for them. And it
provides a rare example of lawmakers who were willing to jettison a big piece
of social policy legislation when the political risks became too grave.
“It has often been said that if you get an entitlement on
the books, you can never get rid of it,” said Bill Archer, who pushed to repeal
the 1988 law as a senior Republican, from Texas, on the House Ways and Means
Committee. “That is an example of a time we did get rid of it.” . . . . . .
. finish reading this surprising story at the NY Times, here.
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