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This was always going to be the crunch. One that no US commentator has mentioned at all. The cuts to healthcare coverage were always going to be the least problematic of Trumps policies.
It doesn’t matter whether it was intentional or not, but every public health measure - from screening to vaccines, to monitoring and tracking- has always been a massive subsidy to the health insurance business. Of course the republicans had to go further and make it illegal for schools, services, places of work and public transit/airlines and hospitals to demand any compliance with health measures. You can’t turn away a student for not being vaccinated, you can’t turn away a customer for not masking, even when there is a clear outbreak.
Health insurance companies do not work in a vacuum. Their premiums are based on risk and probability. If their customer's risk increases, then so will their premiums. Just removing the screening and monitoring that was routinely done, your chances of being on a subway with a passenger with TB has rocketed. There’s more chance that the server or deli worker making your lunch has hepatitis. There’s far more chance that students at your kids school will have a number of diseases once virtually eradicated by vaccines.
The Republicans have done for health insurance what climate change has done to Florida home insurance.