JD Vance credited Donald Trump for his family being able to get off of Medicaid and onto private health insurance, at the vice presidential debate earlier this month. But he isn’t telling the whole story: that it was due to Obamacare.
Vance’s mother was able to buy private insurance through the Affordable Care Act’s insurance marketplace, run by Ohio, after overcoming substance abuse, becoming financially stable, and earning too much to stay on Medicaid. At the debate, Vance was also referring to a cousin in Florida who got private insurance through the state marketplace, a campaign spokesperson told The Washington Post.
Vance said that Trump fixed a lot of issues with the ACA after Republicans failed to repeal the bill early in his presidency. But this belies the fact that Vance’s family members reaped the benefits of the ACA despite Trump and the rest of the GOP repeatedly attempting to undermine, and then remove, it.
If Trump had been successful, the ACA and its marketplaces would not exist in their current form, if at all, said Andrew Sprung, an independent health analyst, to The Washington Post.
“If any Vance family members transitioned to the marketplace because they earned out of Medicaid, they should be grateful that Trump and Republicans in Congress failed to repeal and replace the marketplace with an alternative that would have provided far less affordable coverage,” Sprung said.
Vance’s current praise of Trump also goes against what he was saying in 2017, when the then president and Republicans in Congress were trying to repeal and replace the bill. Back then, Vance said that Republicans’ proposals would hurt low-income Americans.
“The ‘full repeal’ bill is nothing of the sort—it preserves the regulatory structure of Obamacare, but withdraws its supports for the poor,” Vance wrote in a column for The New York Times seven years ago.
Vance’s health care proposals, like Trump’s, essentially bring back health insurance companies’ ability to charge more for preexisting conditions. This would hurt the same low-income Americans Vance was supposedly concerned about in 2017, and stick older Americans with those conditions with a higher bill, and that could include Vance’s family members.
