And you won’t be allowed to see a doctor until you give the program an A+ grade

Since congressional Republicans failed to do his bidding and murder Obamacare, Donald Trump signed an executive order today that has the potential to wreck the individual healthcare markets that are a key part of the Affordable Care Act. That’s in addition to the many steps his administration has already taken to drive down enrollment and increase uncertainty for insurers in the individual market.

The executive order won’t immediately result in any changes to the health insurance system; several federal agencies will have to write new rules to put the package of changes into place. Those rules will be subject to the sometimes-lengthy federal rule-making process, so there will be chances for public comment (which the administration will ignore) and lawsuits against the new rules. Since this is an Executive Branch process, it also won’t do a hell of a lot of good to pressure your members of Congress, which is delightfully sneaky, although it’s possible that Congress could pass a law to put a stop to some of this shit. You know, if Congress ever passes any laws ever again.

Let’s take a look at how this latest incarnation of TrumpDon’tCare will screw up our healthcare system. We’ll be cribbing from ‘splainers at WaPo and Vox, which you should look at if you’re a detail junkie. (Detail addiction will not be covered under the new scheme.) But first, a quick summary from Virginia Democratic Senator Tim Kaine:

Association Health Plans

Get ready to hear a lot about association health plans (AHPs), which make up the main prong of the executive order’s attack on the ACA. These are insurance policies sold to groups of similar small businesses that join together — an association of mommyblogs or of sofa and quill merchants, for instance — to purchase health insurance. The idea is to give small businesses the purchasing power of a large employer. We’ll turn the ‘splainering here over to Vox’s Dylan Scott:

Before Obamacare, national associations could pick and choose which states’ insurance rules they wanted to follow and use those rules to guide the plans they offered nationwide. The bakers association could choose to follow the rules for, say, the Alabama insurance market, which mandates coverage of relatively few benefits, for all its bakeries in New York, a state with many mandates.

The result was often health insurance that skirted state rules and was a better deal for businesses with young and healthy employees, who are likely to prefer skimpier health plans.

Obamacare stopped that kind of junk insurance, treating AHPs like small businesses and requiring they provide a full set of essential health benefits and protections for folks with preexisting conditions.

The Trump executive order calls for new regulations on AHPs that would allow associations to admit businesses from multiple states, and would allow the plans to avoid the ACA rules that apply to small business and individual plans, opening the way for large association plans that could sell stripped-down policies that would cost less — and cover as little as the eventual regulations allow. Expect the agencies to allow plans that would be cheap, but would only cover a portion of the cost of catastrophic illnesses. Those could prove attractive to companies with lots of young, healthy buyers, and then the Obamacare exchanges would in effect become a high risk pool in which older, sicker people would enroll — and without the broader pool of subscribers, premiums would skyrocket and the markets could go into a death spiral. Suck away enough people from conventional insurance, and this could presumably create instability in the market for employer-based insurance, too.

There is this line in the executive order that seems to be there solely so Trump can say, “See? It’ll protect people with pre-existing conditions!” But we won’t know the real effects until the actual regulations are written:

The executive order doesn’t specify whether individuals would be able to buy into AHPs, but maybe! And that too would be bad news for the ACA’s exchanges:

But according to a source familiar with their drafting, the regulations resulting from the order could be written to allow self-employed people to buy into the association market, which would be an even bigger blow to Obamacare.

“That is a question that will be considered in the rulemaking process,” a senior administration said Thursday, indicating that self-employed people could potentially be allowed to buy into association plans.

Tim Jost, a law professor at Washington and Lee University, told Scott before the EO was signed, “It will destroy the small-group market […] We’ll be back to where we were before the Affordable Care Act.” Remember how many people were angry they couldn’t keep their shitty plans because the ACA required health insurance to actually insure stuff? They’ll love this new crap, and once Trump crashes the ACA markets, it may become the norm, hooray.

Redefining ‘Short-Term’ Insurance

The other major part of the EO is language calling for looser regulation of “short-term limited duration insurance,” the kind of policy that in the bad old days you’d buy if you were between jobs or otherwise wanted short-term insurance that gave minimal coverage. The plans are still available, but limited to three months, tops, since they’re exempt from the ACA’s requirements for essential benefits and protections for preexisting conditions. If you lose a job that has insurance, you qualify right away for an exchange policy to replace it, so there’s little reason for the short-term plans to exist except for situations where someone knows they’ll only be without real insurance for a very limited time. Trump’s EO may make it possible for skimpy “short term” plans to last up to 364 days, or even be renewable again and again, which would be another way to shift temporarily healthy people into chep crappy plans and leave the exchanges to older, sicker people, with the resulting higher premiums. The goal, again, is to make the ACA markets crash and then say, “See? Obamacare was unworkable.”

What Can We Do To Stop This?

Oh, dear Terrible Ones, you know this one: Organize. Speak up. If you’re currently in an exchange plan, make sure you and everyone you know signs up during the much-shortened open enrollment, November 1 to December 15. Call your representatives and tell them you won’t tolerate the president tearing down Obamacare from within. Organize more. Work to get Democrats elected and for fuckssakes stop refighting the 2016 primary. Try not to get too discouraged, and read Saint Molly Ivins if you need inspiration. Raise hell. Did we mention Organize? This is probably the biggest threat to America’s healthcare yet, and we can’t let it happen.

Yr Wonkette is supported by reader donations. Please click here to help, and we’ll all fight this idiot together.

[WaPo Vox / Image from Etsy]

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  • bbayliss

    Sabotage is not governance.

    • dslindc

      True, unless Republican.

    • Wild Cat

      It is now.

  • memzilla Ω

    As Friend of Wonkette Charlie Pierce puts it: “It will be a deliberate act of vandalism, like cutting a gas line into a house and waiting for the explosion that inevitably will occur. Trump and that pack o’bastards applauding him are the perps, giggling and sweating into their palms across the street, waiting for the detonation that will shatter so many lives.”

    • Beanz&Berryz

      So much to be happy about…

  • Michael R

    What about a health care game show where everyone in the audience has cancer and three of them get to compete for who gets treatment ?

    • ariel_gee_398

      As long as it’s not a gross cancer, and the patients are still hot.

    • BearDeLaOursistance

      Already greenlit, probably.

  • House0fTheBlueLights

    Every association plan I’ve ever qualified for has basically been a “paydown” plan–you get $10,000 or $20,000 (or whatever) in coverage, for which you pay a very nominal monthly (as low as $20 for one professional group I was in). It covers everything from the first dollar, and they typically don’t restrict providers. But once you hit that $20,000, you’re done. No more money. However, if you hit this in, say, April, you have to keep paying the monthly premium for no coverage for the rest of the year anyway. I’ve also seen plans that have you pay UP to a certain amount ($500 to $1500 typically) before you can get coverage, kinda like when you get a new job and you have to accumulate vacation. Except that every January 1, you have to start over.

    tl:dr- association health plans are bullshit

    • PubOption

      From your description, I assume that there are no agreed prices for services, so providers can charge whatever they want.

      • House0fTheBlueLights

        Exactly. I have found however, since I always have terrible insurance so I’m constantly paying out of pocket, that most providers will agree to charge you the insurance reimbursement instead of “full price” whatever that may be.

    • Courser_Resistance

      Yup, I remember back when I had my own accounting business I could get a plan like that. Fortunately, as an accountant, I read the fine print and didn’t bite.

    • Canis Greyhame

      It’s the illusion of coverage for people who don’t realize that some day they’re going to have serious medical bills to pay. I figure you might as well stuff those lower monthly payments under a mattress, for all the good the junk insurance will do you when once you’ve been diagnosed with cancer, or diabetes.

  • Chyron HR

    Wow, that Kaine guy is saying some pretty good stuff. It’s too bad we had to burn the country (and possibly the planet) down to punish the bitch for not picking a true progressive as her VP.

    • WotsAllThisThen

      All part of Susan Sarandon’s master plan.

    • cmd resistor

      I really liked him. Still do.

  • Villago Delenda Est

    There is no hell hot enough to properly punish the dotard and his Rethug cronies for this shit.

  • Martini Ambassador 🍸
    • Joe Beese

      Thanks, Obama.

    • Joe Beese
      • Augustus

        He can choke on a stinky pair of donkey balls

        …fucking scumbag

      • PubOption

        His signature is bigger than his hand.

        • george lastrapes

          Which is bigger than his——–BRAIN!
          I know what you were thinking, and I am issuing a pardon.

      • Hamilton Ω, AKA Formerly DN

        As time goes by, Donnie’s signature climbs up the Richter Scale.

        And Donnie climbs the rictus scale.

      • look at those dementors behind him. clapping.

    • HooverVilles

      Yep, that pretty much sums it up.

  • Paperless Tiger

    It’s called misfeasance. Impeach!

    • Wild Cat

      Never going to happen. They own every branch of government. They will stomp on our faces forever. Just like people emmigrated here from tyrannies, it’s time to reverse the journey. The US committed suicide on 8 Nov 2016.

  • dslindc

    Will there be access to death panels?

    • Dutchman

      There will ONLY be access to death panels.

    • Only with the premium plan, the rest of us with pre-existing conditions have to go to the emergency death panels which can’t turn us away.

  • Skwerl the Nazi Puncher

    Trump’s doctor: Trump ‘will be healthiest individual ever elected’ president

    • H0mer0

      now I remember! His doc reminded me of one of the characters from “The Banana Splits.”

  • House0fTheBlueLights

    Yeah, I had an exchange today with one of my BernieBot friends, because he posted a “Hypocrite Hillary has hots for Harvey” article. I casually suggested he stfu about Hillary bc did you see today’s EO. His response was that if we stop paying attention to Hillary, she’ll be back to fuck things up for Bernie again. Yes really.

    • Courser_Resistance

      I sure as fuck SOMETHING comes along to fuck thing up for Bernie. I’m sick to death of that goddamn troll.

    • Spotts1701, Nothingburger Chef

      It’s getting hard to tell who is suffering worse from Clinton Derangement Syndrome – the far left or the far right.

      • Hamilton Ω, AKA Formerly DN

        It’s an equal-opportunity Derangement Syndrome.

    • Hamilton Ω, AKA Formerly DN

      As I mentioned before, I blocked all of the Trumpoids who used to be “friends” on my facekook. Recently, I started to block the more delusional BernieBots as well. My BP is almost back to it’s normal 120/80 again.

      • alpacapunchbowl

        I had mine blocked, but this past weekend I finally said fuck it and deleted about 50 “friends”. Felt pretty good.
        Prettay, prettay, prettay good.

      • House0fTheBlueLights

        I’ve done that with this guy, but he’s also a really brilliant Bible scholar and we have great discussions about that so I’m sticking with it for now. I just need to not open up his delusional Bernie threads.

    • alpacapunchbowl
  • Joe Beese

    I’ve got nothing good to say about this guy.

    • That, in and of itself, was far too kind, Joe.

    • Jon Sussex

      I have a very low opinion of him.

  • canes_pugnaces

    I am not sure the orange genius understands what a destabilized market really means in Dumbfuckistan, a land full of underemployed, opiod-addicted people with a plethora of profound health problems. It means lots of people who don’t have medical care.

    The cure: blame it on Hillary and Obama. The Dumbfuckistanis like that sort of thing.

    • BigCSouthside

      Oh fuck, those idiots won’t care. As long as libs are pissed who cares if grandma died of preventable illness

    • Wild Cat

      They openly told us they were out to destroy the government since the Goldwater campaign. Reagan was paid well to to play the role of government leader telling us the government was evil. This was all spelt out clearly, as clearly as Hitler’s spelt out his intentions in “Mein Kampf.”

      The biggest fuckers are the ones who sat on their fucking assholes on 8 Nov 2016.

  • BigCSouthside

    I remember when obama went out and literally campaigned for the ACA. He knew that shit front to back, up and down.

    I bet trump could not even explain how insurance works at a conceptual level.

    • therblig

      “You submit a claim, take the adjuster out to dinner, and you get a check.” – DJT

    • He’s calling this health care. It has fuck all to do with health care and everything to do with the insurance only bits.

  • armed_bears

    OT… but was I the only one to miss hearing about this non-Muslim airport terrorist?

    • Skwerl the Nazi Puncher

      A non-Muslim terrorist. It cannot be!

    • BigCSouthside

      Don’t you mean mentally disturbed loan wolf?

    • Augustus

      Not a coincidence that it wasn’t publicized

    • PubOption

      I heard/read about him, but it was certainly not headline news.

    • cmd resistor

      Until yesterday the only way I heard at all about it was an Asheville FB friend who posted about it.

  • Scooby

    I worked at a bankruptcy law firm for a while pre ACA. The overwhelming majority of our clients were filing due to medical bills. The majority of them had this type of junk insurance. All of them were surprised to learn, after the fact that it didn’t cover hardly anything.

    • Beanz&Berryz

      Ya… this is a live crime scene… sheesh… and all for what.. for whom… just dammit…

      • jesterpunk

        So the rich can have more money?

        • mostly b/c our president is a stupid spiteful PoS and the black man did this.

      • Jmom

        So they can claim they now have the money for tax cuts for the wealthy?

    • Ellie

      I have a friend who lost her home due to medical bills – before the ACA. Her home. Her HOME. She died in a small rental unit that didn’t even have enough room for all her books. Of course, she was old, poor, and a woman who was a lifelong Democrat, so she doesn’t really matter to the GOP and the monster they put in the WH.

      • Scooby

        I know, many of our clients lost their homes and life savings.

  • Kiri the Unicorn

    Pence stops Trump from leaving executive order signing ceremony without signing the order — again

  • Skeptical_thinker

    Trump sucks elephant tusks and shits billiard balls.

    It had to be said.

  • ariel_gee_398

    I know it doesn’t apply to the good folks here, but please, for the love of god, if someone you know isn’t a complete lost cause, try to encourage them to learn about the basics of how health insurance works in this country. It’s dull, but we have to do better than be fooled by such obvious lies.

  • Dutchman

    I’m personally just petrified right now. My company where I’ve worked for 19 years is in great flux. We know that there will be layoffs (more of them) around the first of November. At least before I had hopes that I could get coverage for Ms. Dutchman’s pre-existing conditions….mine as well but they’re much more minor. Now I just have to worry and be even more anxious.

    As I said previously, heroin is sounding like the better alternative daily.

    • Courser_Resistance

      Try weed before you go full smack. It really helps and far, far safer. Plus you don’t need to poke holes in yourself!

    • ACA will be ok for next year (well, it’s going to be crazy expensive but if you get tax credits, those will go up too). this shit won’t hit til 2019.

      also, if you’re in a medicaid expansion state, you’ll be fine (I’m telling all my folks on medicaid to hang tight b/c right now it’s more stable than the private marketplace).

  • Hamilton Ω, AKA Formerly DN

    After much research (about five minutes with teh Goooglz) I found a word that is supposed to mean something more severe than mere “hate”. This was prompted by reading articles about Donnie Dotard and his Merry Maladministration.

    The word is “abominate”.

    I absolutely abominate the Fucking Moron in Chief.

    • Skeptical_thinker

      Hate, loathe and abominate is what the kids are calling it now.

    • Joe Beese

      The judges would also have accepted “execrate”.

      • Hamilton Ω, AKA Formerly DN

        Hey, that’s good. I wonder how I missed that one.

        I definitely execrate that piece of excrement in the White House!


        • cmd resistor

          Back in college French we used to call people excrement-tete.

    • Covfefe

      I feel Donald is the abominable and detestable crime against nature which common decency and respect for the opinions of mankind prevents me from describing in further detail.

      • Hamilton Ω, AKA Formerly DN

        The plain’ol non-commenting rules for radishes keeps me from pontificating table-pounding points of pithy ire that tend to arise when I am in high dudgeon.

      • vivian

        Besides, it’s not allowed here.

    • Beanz&Berryz

      I didn’t know it had been verbed…

      And it’s really different from abominable (snowman)

    • Snark Tank Full of Resistance

      Abhor has always been my go-to. Plus, it sounds like “whore”.

      • H0mer0

        Heinous is good too. Oh wait, we were talking about verbs.
        nevuh mind.

    • Courser_Resistance

      Well, he’s certainly an abomination!

    • vivian

      That’s funny, because he’s turning America into an AbomiNation,
      which sounds an awful lot like ObamaNation, which I infinitely preferred.

    • PubOption

      Sir Humphry Davy
      Abominated gravy
      He lived in the odium
      Of having discovered sodium

      – E. Clerihew Bentley

    • Nasty Girl Brianna

      I’m feeling absolutely fucking abominated to death.

    • HogeyeGrex

      So… Abominablecare?

  • Latverian Diplomat

    The ACA left a small hole for AHPs, and Trump just drove a truck through it.

  • therblig
  • Jack Takes A Knee

    I am just so fucking tired of fighting for my life here. This man wants to kill more Americans than any foreign power could have ever dreamed. Russia’s surely getting Her money’s worth.

    • Beanz&Berryz

      Russia got a bargain, really.

      • WotsAllThisThen

        Now Facebook can really brag about the ROI on its ads.

        • amrak63

          May Facebook follow Mommie Dearest Russia into Areinnye (Romulan Hell).

    • amrak63

      However, this may backfire on that wretched nation of inveterate authoritarians in the long run–if many other Americans, who formerly felt fairly cordial toward Russia, are now as UTTERLY FUCKING PISSED at Russia as I am.

    • Courser_Resistance

      Boy, do I hear you.

      98% of the time I’m anxious, freaked out and horrified by what’s going on. But I try to focus on the here and now and stay positive.

      2% of the time, I look at what my future looks like and I totally despair. I drive by what were once ‘modest’ home, like the one I owned years ago. Now, I can’t hope to every own a home, even a small townhouse ever again. At those times, I figure I’ll run to the end of the line and just end it, I guess. I mean what do you do when you’re stuck on SS, but there’s no place affordable to live, food is increasingly expensive but fuck it, without a place to put it, you’re not going to have any food.

      I’ve strived and struggled and have managed to cobble together a life of a few perm jobs here and there strung together with contract work. Not because I’m a bad employee. In fact, I’m an outstanding employee, but during my work years companies went bankrupt, as did the country. Any retirement money I saved over the years were wiped out by stock market crashes and reversals. I have nothing if I don’t work every freaking day.

      • Nasty Girl Brianna

        Me I’m just severely pissed off and extremely angry, so I take my rage out on any right wing troll that happens to wander into Raw Story or C&L.

  • WhiskeyTangoFoxtrot

    Trump-Don’t-Care fuckery is…I…we really are doomed, aren’t we? Hateful, bitter old men will lead us casually into the abyss while we beg them to turn around. Fuck Donald Trump, Fuck Paul Ryan, Fuck Mitch McConnell, Fuck John McCain, Fuck Ted Cruz, Fuck All of them.

  • cmd resistor

    That guy really is a piece of shit, isn’t he. (Trump).

  • Beanz&Berryz

    Tylenol is bad for your liver…

  • Resistance Fighter Callyson

    But first, a quick summary from the real VPOTUS Tim Kaine


  • Mr. Blobfish

    This has to be Poodleheads doing. He was front and center at the signing.

    • ariel_gee_398

      Probably. This has the stench of his faux-libertarian bullshit – freedom from the tyranny of actual insurance for white males who stay young and healthy, death and medical bankruptcy for everyone else.

      • cmd resistor

        See, these asswipes know they are safe because most of us libtards are too nice to wish illness on them even if they are complete assholes.

        • JustDon’tSayKneel(OrNeil)

          I, for one, do not hope they all die in a fire, because that would not be nice.

  • vivian

    DJT’s plan for Healthcare:
    1. Destroy it
    2. Say: “See? It doesn’t work!”
    3. Profit

    Gee, I wonder what his plan for the Tax Code is gonna be?

    • ariel_gee_398

      Once the government is reduced to a smoldering heap, no need to collect taxes to pay for anything anymore.

  • Resistance Fighter Callyson

    Detail addiction will not be covered under the new scheme

    This is bad news for news junkies such as myself. Maybe I can find something to tide me over until after 2020, because I want to live to see another Democratic POTUS FFS.

  • Ellie

    Pausing a moment to weep over the fact that Molly is no longer with us….
    Mr. Kaine is right. To shorten it further: This plan is a way to kill off old people, sick people, and poor children (but it’s OK, because they weren’t aborted).

    • Beanz&Berryz

      I think rather… any suffering they endure is just an unfortunate consequence of the tax cuts that are needed to protect the wealth accumulated by the top 1%.

    • Beanz&Berryz

      Lord Farquaad: Some of you may die, but that is a sacrifice I am willing to make.

  • Resistance Fighter Callyson

    association health plans (AHPs)

    I will refer to these as the Against Helping People plans from now on.

  • JustPretendImNotHere

    All together now my fellow Wonketteers “BUT…HER…EMAILS”.

    Seriously, if anyone reading this voted for Trump or some 3rd party yahoo because “REASONS”, go fornicate yourself.

    • amrak63
    • amrak63

      “…go fornicate yourself with the nearest available cactus, at your earliest convenience.”


      • Nasty Girl Brianna

        Saguaro only. Not one of those button cacti.

        • amrak63

          I see why you’re called “nasty”.

          Konata and I like that.

          • Nasty Girl Brianna

            This is my nasty alter-ego. I’m really very nice in real life :)

    • i realize this is blanket statement, but the morons who voted for trump last about 8 minutes here.

  • Spotts1701, Nothingburger Chef

    This is SpiteCare – it’s not about me winning, it’s about YOU LOSING!

  • Persistent Demme

    I’m amazed that any of these “people” can sleep at night.

    • Suse

      That’s the secret. They are not “people.”

      • Persistent Demme

        I’m getting my daily Trump headache.

        • george lastrapes

          It hurts to say this, but if I don’t get my daily dose of Trump-induced outrage, I begin to have withdrawals. It’s like when the expected shoe doesn’t drop, I begin to fear an even bigger shoe. Or something.
          Not that I enjoy the outrage. I took prednisone once, for cluster headaches. I preferred the headaches! And I’m still prone to confusing metaphors.

          • Persistent Demme

            I totally get it.
            I’m afraid of the bigger shoe, also.
            I am waiting for this to end, but am losing hope.

            I took 6 different migraine meds, before I found one that works.
            With some of them, I also preferred the headaches.

      • HogeyeGrex
      • Rocket Pony Ron

        Nexus zero. ‘Less human than human.’

  • Resistance Fighter Callyson

    make sure you and everyone you know signs up during the much-shortened open enrollment, November 1 to December 15

    Time to post this one again (feel free to copy-paste the image, which I think I got from one of you good Wonkers in the first place):

    • Lady who lunches

      Thank you! That’s an excellent image.

  • Cock Blockula

    I don’t understand why the GOP wants to kill off their base, especially since they are all about voter fraud and not allowing dead people (as well as POC) to vote.

    • jesterpunk

      Because they can blame Obama and their base will be mad at him.

  • jesterpunk

    Dear GOP,

    You own this now, you broke insurance and anything that happens is your fault. We wont forget this either.

  • Randy Riddle

    Well, this is good news for bankruptcy lawyers.

  • Resistance Fighter Callyson
  • Shanzgood
  • occamstazor

    I’ve been calling it trumpdon’tcare for months now. Did I make that up? Or did I steal from the wonkies ?

  • alpacapunchbowl

    I can’t, you guys. I just fucking can’t with this shit.
    I missed two days of work this week because of my anxiety issues (and I get paid hourly), I managed to leave the house today and made it into work.
    One of my very sweet coworkers got me a chocolate malt. Which I later spilled on my keyboard and had to pop several keys off of to clean up before it turned to glue.
    This project is over next week and I’m concerned that I won’t be placed on another project because they’ll be pissed/think I’m unreliable, which I wouldn’t blame them.
    And this shit, Jesus fucking christ.
    I know there are billions of people out there with bigger problems than I have, but I’m having one of those days where I just can’t deal with shit and I just wanna cry but I still have to work for another two and a half hours. Fuck.

    • cmd resistor

      I hope the rest of work goes better and hope you got to drink some of the chocolate malt before it spilled.

      • alpacapunchbowl

        Fortunately I had already consumed most of it.

    • Rebel Scum with permit

      Sometimes I have to remember to breathe, limit my news diet to Wonkette, and think about what I can and can’t change.
      I can call, and I can go to town hall meetings, work with my indivisible group. I’ve found that finding an outlet helps.
      What doesn’t help- arguing with random trolls or stupid people. Reading news stories about the same topic over and over. Reading Trump tweets. You can only do what you can do.

      • Eileen Besse

        My indivisible group is Wonkette.

    • BearDeLaOursistance

      Just know that in La Resistance, you are never alone.

    • h4rr4r

      Take care of yourself first. If that means no news, so be it.

    • Up In Smoke O’hontas

      Hang in there, and be kind to yourself! Lucille is keeping an eye on you :-)

      • alpacapunchbowl

        Thanks Smoke! And thanks Lucille!

    • big hugs.

      we’re fighting everyday. when it gets too much for one person, someone will pick up the slack.

      (also a less terrifying perspective: you’re in IL right? i was at a training today with some ACA / DOI muckety mucks. they are not anticipating impact this year – and maybe none at all depending on legal restrictions and of course lawsuits. quote: “if it’s illegal in IL an exec order can’t overwrite that – right now it’s just suggestions”. and there is a HUGE effort to make open enrollment a success. we’re going to work our asses off to mitigate whatever we can).

      • alpacapunchbowl

        And that is very good to hear! Please keep us all updated on recommended actions to help however we can!

    • Sunhead
  • gallbladder

    Is it just me, or did the “Average American’s Life Expectancy” curve take a fucking nosedive?

    • Rocket Pony Ron

      Won’t be long before it’s below Haiti’s.

  • So you do have a king after all. Well done, took us a (ahem) revolution and ages to get rid of ours. Sorry, Good luck. Love, EuroBrit

  • armed_bears

    I miss Molly.

    • Donna Mueller

      me too

    • Bill Diaz

      I had a chance to meet her before she died at some Houston Chronicle thing (possibly a book signing?) and she was one of the most gracious, pleasant and kind people I have ever met, for the 2-3 mins that we spoke. We talked about the disaster that Bush was as governor, how bad a President he would be and why Texas should have elected Kinky Friedman, lol.

      I miss Molly and the days back when Texas was a sane state.

      Have a great day!

      • armed_bears


        I also miss when San Antonio and Austin were not the same city.

  • Donna Mueller

    pretty sure the money train stopped at the WH because the grifting widdle toddler doesn’t do ANYTHING without a free bag of money. great to see that scumbag rand douchenozzle there for the dogpile on the rabbit ceremony. this is why the orange anus won’t do much for Puerto Rico. they are facing an unprecedented humanitarian crisis but they have no bag of money to send to TWITTLER so he ignores them.

  • BearDeLaOursistance

    Given its likely effects, shouldn’t he have had to append “With Votes” to the text of that executive order?

  • Ron Spangler

    “Get ready to hear a lot about association
    health plans (AHPs), which make up the main prong of the executive
    order’s attack on the ACA. These are insurance policies sold to groups
    of similar small businesses that join together — an association of
    mommyblogs or of sofa and quill merchants, for instance — to purchase
    health insurance. The idea is to give small businesses the purchasing
    power of a large employer.”

    You know what’s got MASSIVE purchasing power? THE FUCKING NEWNITED STATES GUBMINT, that’s what! So if AHPs are good, single-payer is QUADRUPLE-PLUS-GOOD, with a cherry on top.

    • Ron Spangler

      Somebody tell president tinyhands.

      • Lefty Wright

        That seems to be the only option the GOP is going to allow. They seem to be coming up with absolute crap policies to replace the ACA.

  • BearDeLaOursistance

    I’d like to write a limerick to express my feelings… but there are only so many things that rhyme with “redacted”.

    • Rags

      My health care was previously contracted
      And useful but then was impacted
      By 4-5’s insane
      Plan to cause pain
      I wish that he could be [redacted]

      • BreakingDeadMen

        There once was a grifter from Queens
        Whose word was worth less than beans
        He kept the people distracted
        While their care he redacted
        And left us here venting our spleens

  • Nodrama4mama

    Years ago I worked for a company that offered a junk plan option for its employees, it was a legacy plan that came from a merger. It was 0 premium for individual and like $20 a week for family and I used to warn people to not take it because it didn’t cover anything.

    I had a half dozen people take the plan and come to me months or a year or two later with an ER Trip, or birth or some medical issue and complain about all the out of pocket money they had to pay and blame the company for the shit insurance.

    • Biel_ze_Bubba

      Zero premium, and the phrase “you get what you pay for” never enters their tiny brains. What the fuck do they think “insurance” is, anyhow? Oh wait … tiny brains. Never mind.

    • Eileen Besse

      I hear ya…..

    • HazooToo

      “We also offer this used butt-thong as an optional benefit. It’s free, or $20 if your whole family wears it. I advise you not to take it, as you will be 98% naked and probably will get crabs.”

      “I’LL TAKE IT!”

  • Biel_ze_Bubba

    PREVENTING people from signing up, even if they want to? Sounds like Donny Dipshit took a page out of the GOP’s voter-suppression playbook.
    The level of shameless fuckery coming out of Il Douche’s diseased mind just gets worse by the day – and there’s no bottom in sight.

    • HooverVilles

      Bottomless pit.

  • OrdinaryJoe

    Ly’n Donnie. This isn’t a health care insurance plan. It’s a pay money to insurance companies and get no benefits back plan.

  • JPT

    Make Medicare-For-All the sole coverage for politicians.
    Watch the improvements and funding magically appear.

    • HooverVilles

      It sounds good but somehow I think the I got mine, too bad for you crowd would do just that keep it for themselves.

    • The Kids Aren’t AltRight

      He isn’t fucking with Medicare; that is for olds, who are mostly angry and white so we don’t hurt them. He is fucking the poor schmucks who have to actually buy insurance, which is for Young’s, who are often brown and the Wrong Kind of Angry. Congressmen should only be allowed to buy the healthcare plan available in their states shittiest county.

      • He isn’t fucking with it yet.
        Except of course to give states less money so they have to get tighter about who gets it, and how much they can get out of it.
        This is bad for all of us and our fucking politicians all have socialist healthcare FOR LIFE.

        • The Kids Aren’t AltRight

          Has he actually made those cuts now, or is that just part of the endless barrage of Republican garbage bills being thrown at the Senate?

      • Mildred Broxon

        Some of us olds are angry and white and really want to get rid of Trump, did not vote for him, and loathe Republicans. So don’t overgeneralize.

        • The Kids Aren’t AltRight

          Fair enough.

  • shastakoala

    This puts the S in scary.

  • JoeChristmas

    Swindler McFuckface should know about sham scam plans that just churn money for the bigwigs with no benefits for everyone else.

    • Duke

      “It’s a cheap plan because it has no benefits.”

      • Toledo Window Box

        His idiot supporters will crow that they saved some money, and when they find out nothing is covered they will blame Obama.

  • Delu
  • IdiokraticCulturalMarxist
    • Toledo Window Box

      That’s actually pretty accurate. PPACA is described by experts as a three-legged stool, each supporting the other, of mandated insurance, subsidies for those that can’t afford it, and ending insurance industry policies that lead to denial of coverage.


    Trump sure as hell doesn’t understand the ACA but that doesn’t seem to stop him from fucking it up

    • Msgr_MΩment

      Replace “ACA” with just about anything and that statement still rings true.

  • godsaidHA

    I’m angry. It’s good to read everyone’s angry, intelligent, hilarious non-comments. Thank you.

  • The Kids Aren’t AltRight

    JFC, I am so tired of winning.

  • mailman27

    Thanks for the ‘splainer, but this is enough to make anybody’s head spin. You know what’s waaaayyy less complicated? Single payer health insurance.

  • Kooolest G

    yep, my insurance bill just went from $1000 a month for a family of 3 to $1500. I could still get a plan for $1000 a month, but the cap is $100k a year. the $1500 plan caps at $20k a year. how many people can come up with an extra $100k in a year when they’re sick and can’t work?

    • Toledo Window Box

      Are you arguing that the cost of medical care is too high, or that the cost of the insurance is too high?

      • Donna Mueller

        that would be “C”- ALL OF THE ABOVE

  • Sunhead

    Sorry guys. This is another point where the rest of the developed world and much of the not so developed world looks at y’all and thinks “Maybe we should pay for he wall just to be sure.”

  • Duke

    Obamacare is legislation and it’s real.

    Poor people who need healthcare aren’t real.


  • The Librarian

    I don’t get the joy out of fucking people over like this. It’s not just money. It’s a sick perversion, the willingness to hurt someone and act like it’s in their best interest.

    • Toledo Window Box

      Then you’re not a billionaire.

      • The Librarian

        Lol, nor will I ever be. I have a comfortable middle class life, but I never forget that I was lucky and give back whenever I can.

    • Sunhead

      You are thinking about it wrong.
      They literally do not care about you, they just want to reduce the taxes they ‘pay’ by any means necessary. That means reducing any form of Gubmnt spending so their taxes can be reduced.
      They get the joy from reducing their taxes.
      They literally do not care who suffers, dies, is made homeless, is poisoned to make that happen. That includes the sacred veterans but you can’t talk about that. That would be disrespecting the flag and our soldiers.

      • The Librarian

        True that. We’re not people we’re just statistics standing in the way. But it still takes a perverted mind to view people as things, not people.

    • SeeTrain65

      It’s US/WE (the wealthy/corporate America) vs. THEM/THEY (the rest of us).

      In their masters’ minds, THEY (the rest of us) don’t deserve what WE (the wealthy) have, no matter what reason they give … we don’t work hard enough, we don’t have as much money as they do … and that gives US (the wealthy) the right to screw over THEM (the rest of us).

      No matter that THEY (the rest of us) work much, much harder than any of US (the wealthy) do. Never mind that WE (the wealthy) use lobbyists to bribe Congress to cut and eliminate protections to vulnerable workers so that THEY (the rest of us) can’t support ourselves on what we earn, let alone a family. Nothing THEY (the rest of us) do will ever be seen by US (the wealthy) as being good enough. And it’s perpetual. It never, ever ends.

      WE (the wealthy) are always right, THEY (the rest of us) are always wrong. It’s inverse logic. A government of the people, by the people and for the people is now working against the people. And WE (the wealthy) are laughing all the way to the bank.

  • Toledo Window Box

    Throw this incompetent fool out already, before he kills us all, by stupid domestic policy or taunting the wrong nuclear-armed idiot.

  • VirginiaMorningBlend

    Can a rider be attached to an executive order? This will go into effect as soon as article 25 does? I am willing to make that sacrifice to get him gone before even more people die. My hope is that when he goes we can role back all his shyt choices. Drag this damn dumpster fire out until you get your friggin tax cuts and then throw him in jail looks like the long term plan of the GOP.

  • Msgr_MΩment

    R.I.P., USA. Hanged by her own bootstraps.

  • JackLinks

    Where it all began, Trump being dissed by Obama to his face!

    • P’jama Pahnts

      Totally worth it

      • DesertedPictures

        Really? If that really was the reason he ran, I wish we could go back in time and have Obama shower the men with praise…

        • P’jama Pahnts

          (no, but those were some sick burns)

  • Cool_North

    Scams and shady deals are all part of the comfort zone of this degenerate, they’re his specialty and where he excels, no wonder he gravitates around them. How to make a quick buck for his donors and supporters. And when I say supporters, I mean those who $$ count, not One Tooth McJesus Patriot who worship him from the idiot enclaves. They only get the right to be racist and generally deplorable in the open. And for many of them, that’s more than enough.

  • Fritz1964

    Actually, if this sabotage goes through, the unintended benefit might be that 80k+ Red Hats voters will succumb to their various maladies, willing to take one for the trumpster. They’ll die, by jiminy, in bankruptcy, because libtards. See? Obamacare let whitey down, they’ll whine. However, by 2020, there just might be enough non-voting dead/addicted red-state whites to swing the election back to someone sane.

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