More importantl than getting his nominees, Trump is on his way to getting what he wants. Much has been made about how the Affordable Care Act is hard to unwind. And that’s true. Some 20 million Americans have gained insurance through the exchanges and Medicaid expansion. The rules barring denial of coverage for preexisting conditions and other popular measures would be hard to eliminate. Big Pharma and insurance companies have learned to live with and profit from Obamacare. But the ACA can be chipped away at and eventually made unrecognizable. The House will join the Senate in laying a path to repeal by making it filibuster proof. Any number of things can be done to weaken the act, from lowering the penalty for not buying health insurance to cutting the Medicaid subsidies and so on. Yes, suddenly pulling all benefits away is unworkable. But it’s entirely likely that over the next couple of years, there will be significant changes. Plans which are considered too weak under the current law because they don’t provide enough benefits may pass muster.
On any number of other issues, Trump is likely to get enough of what he wants to claim victory. There won’t be an Obama-style plan for infrastructure but there will be more spending on it, as Trump promised during the campaign. He is making big changes to how the U.S. manages international trade. It may not be the hyper protectionism hinted at during the campaign but he’s putting trade hawks in place at key positions and will pull the U.S. from the already moribund Trans-Pacific Partnership. Can Trump get tax cuts through a Republican Congress? Asked and answered.
Trump will have legislative defeats. His bluster will backfire at times. His Meryl Streep and Hillary Clinton tweets are petty but they’re also discounted in the public mind. At some point he’ll dis the equivalent of the Khans, the Gold Star family he sparred with over the summer. But he looks poised for a lot of victories, despite critics underestimating him, which, come to think of it, sounds pretty familiar.
Join the conversation as a VIP Member