If you want to know what is coming in health care, follow the money. I’m predicting that Trump and Republicans will expand Obamacare into a national health care system run by one private firm with a new name. That will happen because it is the only Republican alternative.
The money is not hard to follow. Insurance is about spreading he risk. When the risk is focused on fewer insured, each person pays more. Think of an auto insurance pool that included only people who had convictions for driving while drunk. Obamacare has too many sick people in it because Republicans will not require healthy people to enroll.
The only choice Trump Republicans have is to require healthy people to sign up for health insurance even if they don’t want to. They need to disguise what they are doing so it does not look like the Obamacare it is.
Republicans will enthusiastically endorse mandatory sign up of healthy people. They will claim this not socialized medicine because a private corporation will be running the program. This corporation will have the power to tamp down prices of drugs, hospitals and lab tests because it will keep some of the saving and perhaps rates to the insured will stop rising as fast.
Idealistic Republicans who see this as a disguise for socialized medicine will be quickly muzzled. They will be no match for billionaires and corporate presidents who will be running things.
What will Trump name his socialized medicine program? “Tremendous Health Care” perhaps.